| NPI | 1669144218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISSA FLANNERY Manager 708-337-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2021-10-01 |