| NPI | 1417295825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA DOOLEY Owner 773-458-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6802058864) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |