NPI | 1730319179 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL MCCUTCHEON President 815-575-6224 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011569) |
Enumeration Date | 2009-07-20 |
Last Update Date | 2009-07-20 |