| NPI | 1629807433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA LUNA Clinical Social Worker 773-317-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |