Organization Name: | CENTER FOR EMOTIONAL WELLNESS OF THE NORTHWEST SUBURBS |
NPI Number: | 1972972891 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHLEEN A BERGER (DIRECTOR) |
Mailing Address: | 4010 Hillcrest Pl Johnsburg |
State: | IL US |
Postal Code: | 600515928 |
Phone Number: | 8153429786 |
Fax Number: | |
NPI Enumeration Date: | 09/21/2015 |
NPI Last Update Date: | 09/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180009906 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |