| NPI | 1609237973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOSHANA LEWIN Clinical Psychologist 773-343-4905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MD 05639) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |