| NPI | 1366746984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE ABIODUN Director 773-791-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.008852) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.005188) |
| Enumeration Date | 2010-12-23 |
| Last Update Date | 2010-12-23 |