| NPI | 1730431156 |
|---|---|
| Doing Business As | MICARES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAMAR HEARD Manager 773-316-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.006014) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2013-01-16 |