| NPI | 1194572933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BARRERA Licensed Clinical Social Worker 773-510-8076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |