| NPI | 1245693027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ARDAGH Licensed Clinical Social Worker 847-331-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |