| NPI | 1588179386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREA FUMBANKS NANABRAY Founder, Executive Director 630-825-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149.019056) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |