| NPI | 1801348354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HARVEY Sole Propieter 618-277-7570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149015509) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-14 |