Organization
GRIEF RIVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JOHN DENNIS D. MIN. (OWNER)
(773) 454-9176
Entity
Organization
Contact information
Practice address
800 SPRING ST STE 101, GALENA, IL 61036-2003
(773) 454-9176
Mailing address
1 CAYUGA TRL, GALENA, IL 61036-9430
(773) 454-9176
(815) 930-0005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/07/2023
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