| NPI | 1316178387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARZOLF Director 847-398-0499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149005413) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2010-04-23 |