| NPI | 1639922768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MATTHEW LOZANO Licensed Clinical Social Worker 312-656-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |