| NPI | 1316302219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RIFE Licensed Clinical Social Worker 773-484-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2016-11-14 |