| NPI | 1629600879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LASHLEY President 312-262-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2025-01-17 |