NPI | 1992981864 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CHARLES EVANS President 773-721-5180 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-003202) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-001022) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2013-04-24 |