| NPI | 1497238760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARI GOLDSTEIN Director 847-309-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |