| NPI | 1326113838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DANA ABBOTT President 773-807-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006594) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 180000597) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-03-13 |