NPI:
1952852485
Provider Name:
THE SELF-CARE PATH, LLC
Former Legal Business Name: FIREFIGHTER BEHAVIORAL HEALTH OF ILLINOIS, LLC
Classification:
Counselor - 101YP2500X
Entity Type:
Organization
Specialization: Professional
Address:
1333 BURR RIDGE PKWY
200
BURR RIDGE, IL
ZIP 60527
Phone:
(708) 429-0353
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THE SELF-CARE PATH, LLC is a professional counselor in Burr Ridge, IL. THE SELF-CARE PATH, LLC NPI is 1952852485. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Firefighter Behavioral Health Of Illinois, Llc.
The provider's business location address is:
1333 BURR RIDGE PKWY
200
BURR RIDGE, IL
ZIP 60527-423
Phone: (708) 429-0353
Fax: (386) 263-8326
The provider's authorized official is Sarah Ann Gura .
The authorized official title is Owner and has the following contact phone number (815) 557-1267.
The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.