| NPI | 1184384505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDA MAYTORENA-UNGER Therapist 708-567-7342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-30 |