| NPI | 1982808655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK PARKER CEO 773-287-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: IL 036077698) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |