| NPI | 1154562726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALEXANDER President 773-457-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071006493) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |