NPI | 1740702596 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER CRUMB PEREZ Owner/Manager 708-963-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2024-05-27 |