| NPI | 1497164644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE GROSS President 847-253-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149002488) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |