| NPI | 1497176523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA SHLAIN Owner 224-619-6982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.011971) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |