| NPI | 1760436398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED T WALTZER President 773-777-7413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 149001505) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-10-20 |