| NPI | 1912236969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MICHELLE CALLOWAY Outpatient Therapist 630-272-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009437) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |