NPI | 1821175191 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS E HOLMES President 847-390-9450 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003586) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |