NPI | 1891226767 |
---|---|
Former Legal Business Name | NORTH SHORE RESILIENT FAMILY |
Entity Type | Organization |
Authorized Contact | MARY ALEXANDRA "ALEX DOTY Owner/ Clinician 847-461-9731 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-009018) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2017-09-21 |