| NPI | 1891026340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA V ANDERSON Clinical Psychologist 773-771-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: IL 071007182) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |