| NPI | 1295132728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A RAY Owner 217-954-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009355) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |