| NPI | 1114437399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLA ELLIS Owner 773-793-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008340) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-05-13 |