| NPI | 1649050741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE IMPASTATO Licensed Clinical Social Worker 847-220-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2026-02-23 |