NPI | 1275798308 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN ESSEX Admin Asst 773-924-9041 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: IL 036094343) |
Enumeration Date | 2008-07-29 |
Last Update Date | 2009-03-13 |