| 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 |