Organization
CENTER FOR ENRICHED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA LOUISE BURTON-LODER LCSW (MANAGER OF RVFRC)
(847) 315-9888
Entity
Organization
Contact information
Practice address
280 SAUNDERS RD., RIVERWOODS, IL 60015
(847) 315-9888
(847) 948-7621
Mailing address
280 SAUNDERS RD., RIVERWOODS, IL 60015
(847) 315-9888
(847) 948-7001
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
224ZE0001X
Environmental Modification Occupational Therapy Assistant
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/31/2017
Last updated
03/30/2023
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