| NPI | 1457770224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ADAM GORDON Director 312-566-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015415) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |