| NPI | 1982169892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROGERS Licensed Clinical Social Worker 773-270-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |