Organization
RESURGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THOMAS LENTINI LCSW (OWNER)
(845) 283-1063
Entity
Organization
Contact information
Practice address
1333 W HURON ST APT 2B, CHICAGO, IL 60642-5750
(845) 283-1063
Mailing address
1333 W HURON ST APT 2B, CHICAGO, IL 60642-5750
(845) 283-1063
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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