NPI | 1770299968 |
---|---|
Doing Business As | RAVEN, LOTUS & GREY |
Entity Type | Organization |
Authorized Contact | AMY PERRY Owner/Therapist 630-338-5893 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-01-30 |