NPI | 1356664973 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE L MADDEN Clinical Psychologist 708-383-0729 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006523) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 149009982) |
1041C0700X Social Worker, Clinical (Licence: IL 149003610) | |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |