| NPI | 1922252931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VERNON Owner 773-802-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009584) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |