| NPI | 1538561261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE GORDON Owner 312-543-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014232) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 27656) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2022-02-21 |