| Canty-gray Counseling Center, Ltd | |
|
2601 Lincoln Hwy Ste 111 Olympia Fields IL 60461-1866 | |
| (708) 283-8000 | |
| (708) 283-8008 |
| Full Name | Canty-gray Counseling Center, Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2601 Lincoln Hwy Ste 111, Olympia Fields, Illinois |
| Authorized Official Name and Position | Bunifaye Canty-gray (PRESIDENT) |
| Authorized Official Contact | 7082838000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canty-gray Counseling Center, Ltd 2601 Lincoln Hwy Ste 111 Olympia Fields IL 60461-1866 Ph: (708) 283-8000 | Canty-gray Counseling Center, Ltd 2601 Lincoln Hwy Ste 111 Olympia Fields IL 60461-1866 Ph: (708) 283-8000 |
| NPI Number | 1427322791 |
|---|---|
| Provider Enumeration Date | 03/02/2012 |
| Last Update Date | 03/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427322791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 180006220 (Illinois) | Primary |
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