Organization
FOR THE CAUSE STI AWARENESS CHARITY, INC.
Active
Other names
FTC Charity
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OCTAVIA JARE'L COLEMAN MHSA (FOUNDER/COUNSELOR)
(919) 455-3740
Entity
Organization
Contact information
Practice address
2200 HASSELL RD, HOFFMAN ESTATES, IL 60169-2148
(847) 802-8133
Mailing address
2200 HASSELL RD, HOFFMAN ESTATES, IL 60169-2148
(847) 802-8133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
45175811
IL
101YP2500X
Professional Counselor
1085631
NC
251B00000X
Case Management Agency
45175811
IL
302R00000X
Health Maintenance Organization
45175811
IL
305S00000X
Point of Service
45175811
IL
Other
Enumeration date
11/24/2008
Last updated
07/08/2014
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