| NPI | 1245451137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M CAMPBELL Owner 773-472-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-001481) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |