| NPI | 1548706005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KEELY LOGSTON President 630-528-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149-008632) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2024-06-10 |