| NPI | 1154704682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN E. PIETRUCHA Clinical Psychologist 773-609-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071008783) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |