| NPI | 1316316953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL HORAN Co Owner 815-529-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016742) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149016473) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2016-11-11 |