| NPI | 1699125344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH GOLDBERG Clinical Social Worker 773-791-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017357) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |