| NPI | 1144511379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTOLIN Executive Director 312-660-1341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009534) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |