| 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 |