| NPI | 1194330993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR L TORRES Clinical Psychologist 312-508-8676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |