NPI | 1467193482 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTRELLA GONZALEZ Billing And Intake Supervisor 312-578-9990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-04-05 |