| NPI | 1033978184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENAI S HOUSER Licensed Clinical Social Worker 708-696-4345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |