| NPI | 1952561425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA CARPENTER WHITE Licensed Clinical Social Worker 773-805-0863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 149.009262) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |