| NPI | 1841964533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA CHRYSTIANNA CHAMPAGNE Lead Therapist 312-298-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |