NPI | 1114630464 |
---|---|
Entity Type | Organization |
Authorized Contact | NEHA R PATEL Licensed Clinical Psychologist 312-545-6435 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-01-03 |
Last Update Date | 2023-01-03 |