NPI | 1972751329 |
---|---|
Entity Type | Organization |
Authorized Contact | LORA D WINDSOR President 630-204-0447 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-010944) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 22413) |
Enumeration Date | 2008-08-28 |
Last Update Date | 2008-08-28 |