| NPI | 1144686122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN BARRETT Manager 312-834-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015772) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2017-03-28 |