| NPI | 1497337117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGE KAROSEVICA Licensed Clinical Social Worker 224-688-8356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |