| NPI | 1497035547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA M. BROWN Clinical Psychologist 773-469-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 071007035) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2013-12-10 |