| NPI | 1245819598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENELLE THOMAS Licensed Clinical Social Worker/Own 708-855-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |