| NPI | 1699405183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA RIVERA Licensed Clinical Social Worker 630-788-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |