| NPI | 1811298029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P P LEY Provider 773-281-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: IL 149000883) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |