NPI | 1558800698 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK DAVIS CEO 312-961-4490 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
208D00000X General Practice | |
Enumeration Date | 2017-02-22 |
Last Update Date | 2017-02-22 |