| NPI | 1538608690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E SURRATT Owner 309-989-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016007) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |