| NPI | 1447789516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE SMITH Business Operations Manager 847-972-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 149015268) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2022-07-21 |