| NPI | 1871124784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE KREITER Licensed Clinical Social Work 773-274-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2026-05-12 |