| NPI | 1356706162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRINA SMITH License Clinical Social Worker 630-253-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017198) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2018-06-20 |