| NPI | 1710490248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO COHN PACTANAC Psychotherapist 773-320-5168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149019761) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2017-11-06 |