| NPI | 1639573017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIXANDRA FOISY Owner 773-939-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149014627) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |