| NPI | 1811266919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DAVID KLAUNG Clinical Social Worker 815-398-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 194-004675) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2011-12-19 |