| NPI | 1568607018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W. RENNARD President 708-769-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009614) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180006436) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2022-09-08 |