NPI | 1043612443 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTA G WOODS President 708-794-6511 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-013839) |
Enumeration Date | 2014-09-17 |
Last Update Date | 2016-09-26 |