| NPI | 1073941233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY WHITE President 708-825-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006744) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |