| NPI | 1891238986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GORTON Licensed Clinical Psychologist 312-905-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.012542) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2016-11-22 |