| NPI | 1770172298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMALIA C PRYOR Clinical Social Worker 773-316-8032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-04-27 |