| NPI | 1386035673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEE DAVIS Licensed Clinical Social Worker 708-574-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015048) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |