NPI | 1861475212 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY MASON KENT President 773-398-2415 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003397) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2020-08-22 |