Organization
AUTHENTIC SELF PSYCHOLOGICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFRICA L RAINEY (PRESIDENT)
(847) 373-3357
Entity
Organization
Contact information
Practice address
3255 N ARLINGTON HEIGHTS RD, STE 502, ARLINGTON HEIGHTS, IL 60004-1586
(847) 373-3357
Mailing address
3255 N ARLINGTON HEIGHTS RD, STE 502, ARLINGTON HEIGHTS, IL 60004-1586
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180007376
IL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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