| NPI | 1306104922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLARE THOMPSON Psychologist/Owner 773-412-5983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071.007211) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |