| NPI | 1811441603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN CANNON Licensed Clinical Social Worker 773-936-3196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016683) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2016-08-09 |