| NPI | 1811408883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI L GARDNER Owner 773-359-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149018427) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149006362) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-11-06 |