| NPI | 1073680765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRYANN DUMYAHN Executive Director 815-879-0327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006773) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-02-25 |