NPI | 1104658038 |
---|---|
Doing Business As | LSSI PORTAGE CRAGIN COUNSELING CENTER CCBHC |
Entity Type | Organization |
Authorized Contact | GREERANN LOVETTE SIMS Business Manager 847-390-1422 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-09-17 |