NPI | 1518209535 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL LYNN KEATON Manager 217-354-6191 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014129) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2013-03-18 |