NPI | 1952906109 |
---|---|
Entity Type | Organization |
Authorized Contact | TAYLOR UNDERWOOD President 815-993-8831 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 104100000X Social Worker |
Enumeration Date | 2020-12-03 |
Last Update Date | 2021-06-22 |