| NPI | 1407419195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DRELICHARZ Licensed Clinical Social Worker 847-791-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |