| NPI | 1619831294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEE HARGROVE Licensed Clinical Social Worker 224-522-8327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-09 |