| NPI | 1598292195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ALEJANDRO Sole Member 224-341-8198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018457) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-06-08 |