| NPI | 1669197380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E SERRANO Licensed Clinical Social Worker 708-320-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |