| NPI | 1215258991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE FLOM Social Worker 773-403-5149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010662) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2015-11-02 |