Organization
CENTER FOR COGNITIVE-BEHAVIORAL AND PRESCRIPTIVE PSYCHOTHERAPY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T. MARK HARWOOD PH.D. (CEO)
(630) 520-0685
Entity
Organization
Contact information
Practice address
28W641 INDIAN KNOLL RD, WEST CHICAGO, IL 60185-1705
(630) 520-0685
(630) 520-0685
Mailing address
28W641 INDIAN KNOLL RD, WEST CHICAGO, IL 60185-1705
(630) 520-0685
(630) 520-0685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071.007550
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12037089
UNIVERSAL PROVIDER DATA SOURCE
IL
Enumeration date
05/17/2011
Last updated
08/03/2011
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