Organization
SANCTUARY COMMUNITY COUNSELING AND RESOURCES, NFP
Active
Parent organization
SANCTUARY COUNSELING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANCTUARY COUNSELING, LLC
Authorized official
DR. ROY C REESE JR. (PRESIDENT CFO)
(773) 717-9921
Entity
Organization
Contact information
Practice address
12247 S RACINE AVE, CALUMET PARK, IL 60643-5401
(312) 687-0198
Mailing address
12247 S RACINE AVE, CALUMET PARK, IL 60643-5401
(312) 687-0198
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
282J00000X
Religious Nonmedical Health Care Institution
—
—
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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