NPI | 1922458934 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA A PAPE Owner 630-668-8710 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149000437) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-06-21 |
Last Update Date | 2016-06-22 |