| NPI | 1992059117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD O. SWISHER President 618-544-3517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IL 149007647) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |