| NPI | 1801284799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA G DESAI Manager 312-600-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014532) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149014532) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IL 149014532) | |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |