| NPI | 1295809986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRI J FERDMAN Lcsw 847-793-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-03-04 |