| NPI | 1083092639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY D WILROY Owner 224-592-0676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016326) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |