| NPI | 1316046386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL FIREMAN Executive Director 773-274-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-006624) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-10-06 |