| NPI | 1356884001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA PATRICE FIELDS President 708-275-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58569) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-09-17 |