NPI | 1629960505 |
---|---|
Entity Type | Organization |
Authorized Contact | AUSTIN HOWALD Owner 309-270-2728 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2025-07-16 |
Last Update Date | 2025-07-16 |