| NPI | 1902267107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON O'HARA Licensed Clinical Psychologist 224-637-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071009243) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2016-03-15 |