Center For Change & Healing
Social Worker, Clinical in Burr Ridge, IL. Organization (NPI-2).
NPI number1003570565
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1003570565
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Change & Healing
- Organization subpart
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
11s230 S Jackson St Ste 104Burr Ridge, IL 60527-7099
Phone 630-712-6042
Mailing address
11s230 S Jackson St Ste 104Burr Ridge, IL 60527-7099
Phone 630-712-6042
Authorized official
Kevin Kell
Director Of Information
6308496212
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