| NPI | 1336975671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN MANUEL BARRIGA Licensed Clinical Psychologist 773-692-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2025-01-03 |