| NPI | 1891119590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETA PRISSELL PEREZ CEO/Clinician 708-465-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: IL 149016540) |
| Enumeration Date | 2014-02-15 |
| Last Update Date | 2016-09-06 |