| 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 |