| NPI | 1609016864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J GARTNER President 815-307-6056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011534) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |