Adultchildrencenterltd
Counselor, Professional in Lombard, IL. Organization (NPI-2).
NPI number1063638401
StatusActive
Last updated in NPPESNov 19, 2014
Details
- NPI
- 1063638401
- Entity type
- Organization (NPI-2)
- Legal business name
- Adultchildrencenterltd
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Nov 19, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 1800001417 | IL | Yes |
Practice location
2 E 22nd St302
Lombard, IL 60148-4976
Phone 630-495-2014 · Fax 630-495-2249
Mailing address
2 E 22nd St302
Lombard, IL 60148-4976
Phone 630-495-2014 · Fax 630-495-2249
Authorized official
Dene T Stamas
President
6304952014
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