| NPI | 1912549676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A MEYERSON Executive Director 312-667-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2023-04-24 |