| NPI | 1811479249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDELLE R GLASGOW Licensed Psychologist 312-804-3079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 2697) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2019-07-29 |