| NPI | 1124430798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN M MATHY Owner 217-621-3014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012714) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-10-12 |