| NPI | 1588163653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA FLIESS Social Worker 773-885-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017811) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2021-09-28 |