| NPI | 1003280744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MONTALVO NELSON Substance Abuse Counselor/Owner 312-254-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017479) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |