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 |