| NPI | 1700243086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE E DUBOIS Owner 773-680-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-002102) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |