| NPI | 1023336492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE MARIE MCBRIDE Clinician 773-396-4578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013081) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2013-06-05 |