| NPI | 1326409111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI J NEWMAN Administrator 708-560-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015020) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |