| NPI | 1619113396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL SMITH CEO/President 773-962-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006030) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |