| NPI | 1841920915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LEVINE Staff Therapist 224-215-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |