| NPI | 1124744347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NOWLAN Licensed Clinical Social Worker 312-768-8627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |