| NPI | 1407655509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY NUNEZ Credentialing Specialist 312-439-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |