| NPI | 1013234608 |
|---|---|
| Former Legal Business Name | SUNCOAST THERAPY |
| Entity Type | Organization |
| Authorized Contact | JULIE BUSH Credentialing Manager 847-584-2604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2022-09-14 |