| NPI | 1609463157 |
|---|---|
| Former Legal Business Name | DPS THERAPY GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | DENISE SANDOVAL Director/Lcpc 708-955-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |