| NPI | 1215112727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO DUREN SAMPSON Administrator 815-562-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 149000979) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |