| NPI | 1396239802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN KUNZ President 815-214-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071.009770) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |