NPI | 1144971300 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK R GUNDERSON Clinical Psychologist 847-778-7365 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-01-10 |