| NPI | 1629443536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DUMP President 312-600-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071009160) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2024-06-24 |