| 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 |