| NPI | 1033785977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FLETCHER Network Clinician 815-955-4012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-01 |