| 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 |