| NPI | 1144195553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEVE NICOLL Licensed Clinical Social Worker 847-770-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |