| NPI | 1366831349 |
|---|---|
| Doing Business As | NO OTHER WAY |
| Entity Type | Organization |
| Authorized Contact | REVLON DIONE WILSON Licensed Professional Counselor 773-203-2329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 72882) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 72882) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |