| NPI | 1477208486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTRELLA GONZALEZ Billing And Intake Supervisor 312-578-9990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |