| NPI | 1134393978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN E CADMUS Partner 815-227-9402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.006644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149002271) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |