| NPI | 1124530456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LOUISE ALLEN CEO/ Mental Health Therapist 708-529-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019762) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-07-20 |