| NPI | 1821386236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE SPENCER Executive Director 815-758-8616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149007034) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |