| NPI | 1629947114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WARD CORNWALL Licensed Clinical Social Worker 847-915-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |