| NPI | 1760811905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANA MICHELLE DURPETTI Director Of Eap Services 847-658-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149008798) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 23496) |
| 101YP2500X Counselor, Professional (Licence: IL 180006721) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |