| NPI | 1801765490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KALOUSTIAN Licensed Clinical Social Worker 312-800-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-01 |
| Last Update Date | 2025-11-01 |