| NPI | 1477908176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA A. RODRIGUEZ Manager 773-704-3948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012310) |
| Enumeration Date | 2016-04-30 |
| Last Update Date | 2016-04-30 |