| NPI | 1467187930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE PERSCHAU Clinical Psychologist 708-274-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |