| NPI | 1174659924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL MUDD President 847-332-2589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149002878) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |