| NPI | 1407225709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOOMAN KESHAVARZI Executive Director 224-622-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A115077) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 77379) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-10-07 |