| NPI | 1518450659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUANN TOSCANO Licensed Clinical Social Worker 773-466-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 149.020283) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-16 |