| NPI | 1144644261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE R HARRIS Owner 312-576-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016113) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2016-10-13 |