| NPI | 1306170154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E FRANSEN CFO 773-528-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010276) |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2009-09-28 |