| NPI | 1568878502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE KATHLEEN AMBRE Owner 847-729-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007816) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |