| NPI | 1477685527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARY MANNING Program Director 618-656-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-007990) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |