| NPI | 1841655222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LEE ANDERSON Licensed Clinical Social Worker 708-752-5306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |