| NPI | 1669652913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S LABELLE President 847-309-3781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149003151) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 6891123) |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2014-12-09 |