| NPI | 1902243090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANINE GAUTHIER MULLADY Licensed Clinical Psychologist 312-285-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 071006689) |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-10-21 |