NPI | 1972092476 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERISH HAMILTON-TEKAUTZ Owner 872-256-0962 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018323) |
Enumeration Date | 2018-05-09 |
Last Update Date | 2022-02-09 |