| NPI | 1609271204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASPASIA PALIOS Clinical Social Worker 815-603-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149015121) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |