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 |