| NPI | 1245621242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE R GRAHAM Therapist 312-967-9886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017254) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |