NPI | 1942737366 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD JUNKINS Therapist 847-563-4010 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019361) |
Enumeration Date | 2017-05-16 |
Last Update Date | 2022-07-21 |