| NPI | 1710366778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M BEEDY Licensed Clinical Social Worker 773-895-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.014130) |
| Enumeration Date | 2015-05-23 |
| Last Update Date | 2015-05-23 |