| NPI | 1205286440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIOLETA KOZIOL Owner 773-372-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017528) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2016-06-19 |