| NPI | 1356793749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BROOKE HARTMAN Owner 312-256-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017020) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-13 |