Organization Name: | BREATHE |
NPI Number: | 1285036491 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WINIFRED BRADSHAW (DIRECTOR) |
Mailing Address: | 15255 S 94th Ave Orland Park |
State: | IL US |
Postal Code: | 604623800 |
Phone Number: | 8474618718 |
Fax Number: | 8474855605 |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 180008522 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |