| NPI | 1215392147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRIE BENSON-PRYOR Lcsw 815-322-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016200) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |