| NPI | 1831302959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNE MALONE Director 847-588-8461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2025-06-18 |