NPI | 1679628788 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN ALAN LEVY Owner 773-848-1219 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149009106) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2019-04-04 |