NPI | 1114628351 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER O'CONNELL Licensed Clinical Social Worker 847-907-0501 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2023-03-14 |
Last Update Date | 2023-03-14 |