| Association Of Individual Development | |
|
5342 W Elm St Mchenry IL 60050-4029 | |
| (815) 391-3379 | |
| Not Available |
| Full Name | Association Of Individual Development |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5342 W Elm St, Mchenry, Illinois |
| Authorized Official Name and Position | Sarah Suarez (CASE MANAGER) |
| Authorized Official Contact | 8153913379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Association Of Individual Development 5342 W Elm St Mchenry IL 60050-4029 Ph: (815) 391-3379 | Association Of Individual Development 5342 W Elm St Mchenry IL 60050-4029 Ph: (815) 391-3379 |
| NPI Number | 1033722848 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033722848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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