| NPI | 1669104832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAJAHATUDDIN MACCI CFO 773-817-5928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TA0700X Psychologist Adult Development & Aging | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TE1100X Psychologist Exercise & Sports | |
| 103TF0000X Psychologist Family | |
| 103TF0200X Psychologist Forensic | |
| 103TH0004X Psychologist Health | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TP0814X Psychologist Psychoanalysis | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 104100000X Social Worker | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |