Organization Name: | RED LETTER MISSION, PC |
NPI Number: | 1093971285 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CRAIG STEVEN LAASCH (PRESIDENT) |
Mailing Address: | 1520 N Rock Run Dr Suite 30a Cresthill |
State: | IL US |
Postal Code: | 604033153 |
Phone Number: | 8157413009 |
Fax Number: | 8152541839 |
NPI Enumeration Date: | 08/06/2008 |
NPI Last Update Date: | 08/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071006035 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |