| NPI | 1275384984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A JABAAY Licensed Clinical Social Worker 708-705-3849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |