NPI | 1700656550 |
---|---|
Doing Business As | LORETTA T. SUMERSET-YOUNG |
Entity Type | Organization |
Authorized Contact | LORETTA T SUMERSET-YOUNG Owner/Director 708-829-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QX0200X Clinic/Center, Oncology | |
Enumeration Date | 2024-01-03 |
Last Update Date | 2024-01-03 |