| NPI | 1497136741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TREPTOW Partner 815-919-4572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149012710) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |