| NPI | 1912335431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DEMAIN BRADFORD Lcsw / Owner / President 708-763-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149004858) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2021-10-27 |