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 |