| NPI | 1952096612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A GANDY Owner 708-268-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |