| NPI | 1710747548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAISHA STARKS Licensed Social Worker 312-513-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 1041C0700X Social Worker, Clinical | |
| 163WC1500X Registered Nurse, Community Health | |
| 172V00000X Community Health Worker | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |