| 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 Community/Behavioral Health |
| 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 |