| NPI | 1063655801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WEAVER President 773-612-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-009527) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2020-08-05 |