LUCID FLAME LLC

NPI # 

Practice Address:

4422 N Ravenswood Ave # 1005

Chicago, IL, 60640-5803

Practice Phone:

419-944-1847

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Mental Health (Including Community Mental Health Center)

Taxonomy Code:

261QM0801X