NPI | 1114517075 |
---|---|
Doing Business As | BREAKTHRU THERAPY CHICAGO |
Former Legal Business Name | BURTAINE COUNSELING, INC |
Entity Type | Organization |
Authorized Contact | KRISTIN BURTAINE President, Lcpc 616-633-0476 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-01-24 |
Last Update Date | 2021-01-24 |