| NPI | 1508575291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CLARKE Licensed Clinical Social Worker 773-251-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |