| NPI | 1831836576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MARIA LAGOS Licensed Clinical Social Worker 224-325-5736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-05-15 |
| Last Update Date | 2022-05-15 |