| NPI | 1265990014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL O'GRADY, PH.D. Clinical Psychologist 312-984-0417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |