| NPI | 1548777303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JOHN SKIBA Clinical Psychologist 708-721-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: IL 071007241) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |