| NPI | 1366075566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LANG REESE Clinical Psychologist 312-687-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-02-16 |