| NPI | 1447086624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L STUTZ Clinical Social Worker/ Therapist 217-778-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |