| NPI | 1265796320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ELLEN FOLEY Director 708-466-7120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |