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Organization
LOVE MANIA CLUB
Active
Organization
LOVE MANIA CLUB
Active
Other names
Mission Mania
Organization subpart
No
Provider details
NPI number
Authorized official
BEUNKA BUTLER CADC, CHW, BA (EXECUTIVE DIRECTOR)
(773) 629-7477
Entity
Organization
Contact information
Practice address
613 E 50TH ST APT 2C, CHICAGO, IL 60615-2597
(773) 629-7477
Mailing address
613 E 50TH ST APT 2C, CHICAGO, IL 60615-2597
(773) 629-7477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
07/22/2024
Last updated
11/01/2024
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