| NPI | 1366987836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL R. KUPFERBERG CEO 773-984-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.018685) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |