NPI | 1639393499 |
---|---|
Other Name | FAR NORTHWEST COUNSELING |
Entity Type | Organization |
Authorized Contact | GERALD NOONAN Chief Financial Officer 847-635-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |