| NPI | 1194982025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY S LEE Eap Substance Abuse Counselor 815-937-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006455) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |