| NPI | 1003464595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLYN MARIA GARRETT-WILSON Clinical Director 773-320-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-06-23 |