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 |