| NPI | 1760799225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY MACK THOMAS CEO/President 312-339-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-007201) |
| Enumeration Date | 2010-09-06 |
| Last Update Date | 2010-09-06 |