| NPI | 1619035730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HANSON Co Owner 847-295-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-02-15 |