| Association For Individual Development | |
|
5615 Liberty St Richmond IL 60071-9531 | |
| (815) 931-2340 | |
| (815) 344-2497 |
| Full Name | Association For Individual Development |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5615 Liberty St, Richmond, Illinois |
| Authorized Official Name and Position | Frances L Baker (CEO) |
| Authorized Official Contact | 6309664001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Association For Individual Development 309 New Indian Trail Ct Aurora IL 60506-2411 Ph: (630) 966-4000 | Association For Individual Development 5615 Liberty St Richmond IL 60071-9531 Ph: (815) 931-2340 |
| NPI Number | 1235752577 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235752577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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