| NPI | 1134933104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME CALLAN Licensed Clinical Social Worker 708-262-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-03-26 |