| NPI | 1619094562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL SARLO Clinical Psychologist 773-880-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006228) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2008-08-11 |