| NPI | 1902156433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY M ADAMS GREENWALT Owner 618-244-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013761) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2025-10-27 |