| NPI | 1437105061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHABAN President 866-220-8371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060008302) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |