| NPI | 1134529837 |
|---|---|
| Former Legal Business Name | SAME |
| Entity Type | Organization |
| Authorized Contact | JIM FRANCIS WARNER Business And Marketing Director 773-459-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2022-07-21 |