NPI | 1821122029 |
---|---|
Entity Type | Organization |
Authorized Contact | VALENTIN BERMAN Director 708-499-3525 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036081190) |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 036081190) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2018-07-10 |