| NPI | 1104337195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GABRIELLE KACENA Owner 312-590-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 39001619A) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |