| NPI | 1790486629 |
|---|---|
| Doing Business As | ATHOME WITH CLARKLINDSEY |
| Entity Type | Organization |
| Authorized Contact | LAURA EDWARDS Executive Director 217-356-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-17 |