| NPI | 1134852635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE RUBIN Clinical Psychologist 312-869-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2022-07-03 |