| NPI | 1750707238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN JOHNSTON Director 312-513-3746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007205) |
| Enumeration Date | 2014-03-08 |
| Last Update Date | 2014-03-08 |