| NPI | 1972278638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASTITY SAUCER Licensed Clinical Social Worker 312-487-1715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |