| NPI | 1124552922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAELA BATES Therapist 773-739-3705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015046) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |