| An Au-some Place 2 Be Llc | |
|
14602 Clark St Dolton IL 60419-1526 | |
| (773) 294-0814 | |
| Not Available |
| Full Name | An Au-some Place 2 Be Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 14602 Clark St, Dolton, Illinois |
| Authorized Official Name and Position | Valorie Kersh (OWNER) |
| Authorized Official Contact | 7732940814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Au-some Place 2 Be Llc 14602 Clark St Dolton IL 60419-1526 Ph: (773) 294-0814 | An Au-some Place 2 Be Llc 14602 Clark St Dolton IL 60419-1526 Ph: (773) 294-0814 |
| NPI Number | 1053049601 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053049601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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