Organization
RAY OF LIGHT BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YESENIA GARCIA LCSW (PSYCHOTHERAPIST)
(312) 404-7221
Entity
Organization
Contact information
Practice address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(312) 404-7221
Mailing address
3111 W ARMITAGE AVE, CHICAGO, IL 60647-3818
(312) 404-7221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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