| NPI | 1427261551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT P. KNOTT Medical Director 773-947-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149002437) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |