| NPI | 1851792691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN WILLARD Executive Director 309-451-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |