| NPI | 1457627036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN J RICHARDSON Owner 217-621-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW014861) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |