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 |