| NPI | 1770548380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LEEANN LUMPKINS Director 815-334-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2020-08-22 |