| NPI | 1740702596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CRUMB PEREZ Owner/Manager 708-963-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-05-27 |