| NPI | 1851745996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNELIESE MOY Social Work 708-831-1876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012913) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-12-01 |