NPI | 1730575184 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH LLOYD Owner And Director 815-766-1719 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149007034) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 180006835) |
Enumeration Date | 2015-04-13 |
Last Update Date | 2024-01-31 |