| NPI | 1881726909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE L. FERENCE President 708-383-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 060.005616) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: IL 060.005616) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |