NPI | 1083345599 |
---|---|
Former Legal Business Name | CARROLL-WRAY PSYCHOLOGICAL SERVICES INC. |
Entity Type | Organization |
Authorized Contact | KATHLEEN CARROLL-WRAY Owner 847-732-2717 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2022-06-23 |
Last Update Date | 2022-12-05 |