| NPI | 1558664557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN R WILLARD Executive Director 309-451-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014202) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2013-06-26 |