| NPI | 1427628312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CARBAJAL Licensed Clinical Social Worker 773-270-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-05-14 |