| NPI | 1982155255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON COPPIN President 773-609-2358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012219.) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |