| NPI | 1013663996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DEFILIPPIS Licensed Clinical Social Worker 847-975-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2023-02-06 |