| NPI | 1295222875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LUETKE Director 847-245-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010775) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |