NPI | 1528390929 |
---|---|
Entity Type | Organization |
Authorized Contact | GAIL MARIE GRABCZYNSKI Owner 312-607-1385 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.008422) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2010-02-10 |
Last Update Date | 2024-01-26 |