| NPI | 1831815802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN FRANCIMORE Licensed Clinical Social Worker 708-738-0805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |