| NPI | 1679865075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE BRENNAN MALEC Owner 312-578-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180007122) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000780) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2024-06-26 |