| NPI | 1265743637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA N BLACK Owner 312-718-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013929) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2011-06-23 |