| NPI | 1437944469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN KUBE Psychologist 773-741-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-10 |
| Last Update Date | 2025-04-10 |