| NPI | 1922010537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARK N KIRCHNER President 217-544-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 060008991) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |