| NPI | 1770991077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWIN D GREEN President 708-331-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL A-9572-0001-A) |
| 251S00000X (Licence: IL A-9572-0001-A) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 252Y00000X Early Intervention Provider Agency (Licence: IL 15009) | |
| 101YM0800X Counselor, Mental Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2017-01-09 |