| NPI | 1821240136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON BORIS Clinical Social Worker 708-217-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-007417) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |