| NPI | 1063847622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J. RIVITZ Manager 773-484-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149002037) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-17 |