| NPI | 1285102020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICAH KAUFMAN Psy.D. 312-636-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |