BLACK TIE THERAPY

CHICAGO, IL
NPI1073156196
Entity TypeOrganization
Authorized ContactMYRON NELSON
President
216-832-1907
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2019-10-21
Last Update Date2020-09-04
Business Address
BLACK TIE THERAPY
2232 N WAYNE AVE APT 1F
CHICAGO, IL 60614-8937
Phone number: 773-217-8426
Mailing Address
BLACK TIE THERAPY
2232 N WAYNE AVE APT 1F
CHICAGO, IL 60614-8937
Phone number: