| NPI | 1164110821 |
|---|---|
| Doing Business As | MARCUS M RAY BEHAVIORAL HEALTH LLC |
| Doing Business As | MARCUS M RAY WHOLESALE LLC |
| Doing Business As | MARCUS M RAY BEHAVIORAL HEALTH FACILITY |
| Entity Type | Organization |
| Authorized Contact | TERENCE T WALKER Owner/ Manager 773-600-4302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |