NPI | 1053863092 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH GRAY President 847-899-8320 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016628) |
Enumeration Date | 2016-10-25 |
Last Update Date | 2016-10-25 |