| NPI | 1003276593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVILA MCDOUGAL VP Of Operations 312-540-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |