| NPI | 1902790546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERECK ALEXANDER Licensed Clinical Social Work Super 773-242-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-09-01 |