| NPI | 1942680442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASHA P VON KIBEDI VARGA Owner 847-446-7924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149008505) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |