| NPI | 1881862530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERINNE SHANER Office Manager 815-285-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149006555) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2017-04-20 |