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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