| NPI | 1407112576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RICHARD MITCHELL President 847-587-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 060-006208) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-09 |