NPI | 1215330048 |
---|---|
Former Legal Business Name | CHICAGO PSYCHOTHERAPY LLC |
Entity Type | Organization |
Authorized Contact | CAROLINE BLISS ADELMAN Clinical Psychologist 919-265-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071.008925) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2021-07-26 |