Organization
TOTALITY. THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BOUSEK (OWNER)
(708) 320-8992
Entity
Organization
Contact information
Practice address
2027 W DIVISION ST STE 157, CHICAGO, IL 60622-9024
(708) 320-8992
Mailing address
2027 W DIVISION ST STE 157, CHICAGO, IL 60622-9024
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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