| NPI | 1588068837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MOELLER President 815-626-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.007644) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |