| NPI | 1699749416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LARSON Owner 630-355-8410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149000660) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2008-10-21 |