| NPI | 1720262991 |
|---|---|
| Doing Business As | FULL ADVOCATE BHS |
| Entity Type | Organization |
| Authorized Contact | LAMONT THEOLONUS TAYLOR License Clinical Social Worker 773-509-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-011481) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 149-011481) |
| 101YM0800X Counselor, Mental Health (Licence: IL 149-011481) | |
| 104100000X Social Worker (Licence: IL 149-011481) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2016-10-28 |