NPI | 1649616541 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL LYNN MCNEAL President /CEO 815-289-8165 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014883) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2013-05-17 |