| NPI | 1124892021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CATHERINE MAE NAVARRO Licensed Clinical Social Worker 224-730-4594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2024-10-07 |