| NPI | 1003791138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEEN RENEE MCGOWAN Licensed Clinical Social Worker 773-699-1986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |