| NPI | 1487899407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARI GOLDSTEIN Director 773-755-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071007252) |
| Additional Taxonomies | 103TS0200X Psychologist School |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |