| NPI | 1164703278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L KOESTLER President 815-587-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009180) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |