| Aid | |
|
1905 Althea Ln Fl 2 St Charles IL 60174-3198 | |
| (630) 966-4079 | |
| (630) 966-4089 |
| Full Name | Aid |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1905 Althea Ln Fl 2, St Charles, 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 |
|---|---|
| Aid 309 New Indian Trail Ct Aurora IL 60506-2411 Ph: (630) 966-4000 | Aid 1905 Althea Ln Fl 2 St Charles IL 60174-3198 Ph: (630) 966-4079 |
| NPI Number | 1790300234 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790300234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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