| NPI | 1083155360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY SHAEFFER Owner 773-892-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-019001) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |