| NPI | 1528575958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARMAN CROWLEY Owner 217-637-7816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149003667) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |