NPI | 1205278041 |
---|---|
Entity Type | Organization |
Authorized Contact | NNEKA SARAN JONES Owner 630-241-1495 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007558) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2013-07-29 |