NPI | 1245629864 |
---|---|
Entity Type | Organization |
Authorized Contact | DARRYL PURE Clinical Psychologist 312-431-1188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071002872) |
Enumeration Date | 2015-01-20 |
Last Update Date | 2015-01-20 |