| NPI | 1336427731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE HAMILTON President 773-880-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012143) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-10-18 |