NPI | 1629492400 |
---|---|
Former Legal Business Name | THE CHILD, ADOLESCENT AND FAMILY RECOVERY CENTER - WEST |
Entity Type | Organization |
Authorized Contact | RYANNE BRIGHT COO 847-457-6703 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
103TC0700X Psychologist, Clinical | |
1041C0700X Social Worker, Clinical | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL A-4641-0002-A) | |
Enumeration Date | 2014-02-13 |
Last Update Date | 2024-08-14 |