NPI | 1760797823 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA JEAN KOOPMANN Therapist 630-673-5667 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-007379) |
Enumeration Date | 2010-08-13 |
Last Update Date | 2016-02-04 |