| NPI | 1770028300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE TUMBORELLO LCSW CADC Owner 773-350-8456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.015527) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |