| NPI | 1801919691 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARY A LEE CEO 708-983-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004127) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-01-17 |