NPI | 1003388810 |
---|---|
Entity Type | Organization |
Authorized Contact | SALOUMEH DEGOOD President 773-906-3225 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2018-12-19 |
Last Update Date | 2025-04-15 |