NPI | 1851442628 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES PAUL SIMMERER Therapist 708-228-0475 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-003104) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-08-22 |