| NPI | 1457734469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANNA ELYCE GRAHAM Social Worker 217-554-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AR 6906-M) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |