| NPI | 1104288380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA ILENE DAVIS HENRY President 847-471-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007033) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-01-20 |