| NPI | 1568765998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN NOLLETTE President 312-540-0320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003940) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |