| NPI | 1578241253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN CACCAMO Licensed Clinical Social Worker 847-899-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-11 |