| NPI | 1205137346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M WELTER Director 815-260-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149010490) |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2011-02-06 |