| NPI | 1518619188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LINCKE Licensed Clinical Social Worker 847-220-4427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-03-14 |