| NPI | 1083590350 |
|---|---|
| Other Name | LOR500 |
| Entity Type | Organization |
| Authorized Contact | MARK HARRIS Owner 708-271-7363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-08-28 |