| NPI | 1780381574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH C CAMPBELL Licensed Clinical Social Worker 309-857-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |