NPI | 1700101870 |
---|---|
Doing Business As | HEALING CENTER AT SILVER LAKE GARDENS |
Entity Type | Organization |
Authorized Contact | SHELLEY SKAS Licensed Clincial Professional Coun 708-586-9303 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180007474) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2012-04-20 |