| NPI | 1588052831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BUXTON Co Director 312-569-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017177) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |