Institute For Behavioral Health
Psychologist, Group Psychotherapy in Chicago, IL. Organization (NPI-2).
NPI number1982803219
StatusActive
Last updated in NPPESJul 17, 2007
Details
- NPI
- 1982803219
- Entity type
- Organization (NPI-2)
- Legal business name
- Institute For Behavioral Health
- Organization subpart
- No
- Enumeration date
- Jul 17, 2007
- Last updated
- Jul 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP2701X | Psychologist, Group Psychotherapy | – | IL | Yes |
Practice location
4250 N Marine Dr Apt 1521Chicago, IL 60613-1714
Phone 773-404-0160
Mailing address
4250 N Marine Dr Apt 1521Chicago, IL 60613-1714
Phone 773-404-0160
Authorized official
Diana Yates
President
7734040160
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