POWER TEEN PROGRAM

CHICAGO, IL
NPI1134458466
Entity TypeOrganization
Authorized ContactGLENDA CUNNINGHAM
Chief Executive Officer
312-521-3336
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071002911)
Enumeration Date2009-12-16
Last Update Date2009-12-16
Business Address
POWER TEEN PROGRAM
300 N CENTRAL AVE
CHICAGO, IL 60644
Phone number: 312-261-1421
Mailing Address
POWER TEEN PROGRAM
9336 MORGAN AVE
EVANSTON, IL 60203-1418
Phone number: 312-261-1421