NPI | 1376092643 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN MARIE ANDERSON Psychologist/Owner 630-631-2180 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071006406) |
Enumeration Date | 2016-09-28 |
Last Update Date | 2016-09-28 |