| NPI | 1871040121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KIEFFER Licensed Clinical Social Worker 224-600-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015242) |
| Enumeration Date | 2016-09-03 |
| Last Update Date | 2017-02-07 |