| NPI | 1811152754 |
|---|---|
| Former Legal Business Name | DSBC LTD |
| Entity Type | Organization |
| Authorized Contact | MICHELE RENEE CHALEUNPHONH Owner 815-729-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |