| NPI | 1710280714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN R WILLARD Executive Director 309-451-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013615) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |