| NPI | 1720458938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA TERESA D'AGOSTINO Owner 773-266-8984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017535) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |