| NPI | 1487024139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE M LEITHEISER Director 312-874-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 105803102) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |