| NPI | 1942086111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWELINA BOCH Licensed Clinical Social Worker 847-986-5385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |