| NPI | 1831409317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD THOMAS CUNNINGHAM Presdient 773-610-3766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007414) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |