| NPI | 1518615749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HIGGINS President/Chairman 708-726-6472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2023-05-26 |