| NPI | 1265944029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE ZWICKY SIMON CEO & Founder 708-628-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005823) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 4778) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-08 |