| NPI | 1962260166 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAYLA KREUTZER Licensed Master Social Worker 630-297-5838 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Enumeration Date | 2024-03-12 | 
| Last Update Date | 2024-03-12 |