| NPI | 1770725608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENANAH K LEHNER Director 773-742-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007160) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |