| NPI | 1437532694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HUNTER BASS Executive Director 312-721-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017928) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007290A) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2024-03-22 |