| NPI | 1073986006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN EVERSON Lcsw 773-644-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014856) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2015-11-13 |