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 |