| NPI | 1891920757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RUTH BLOUNT Director/Clinical Psychologist 773-633-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007335) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2014-10-13 |