| Center For Authentic Living | |
|
120 Main St Suite 200 Park Ridge IL 60068-4044 | |
| (847) 668-4859 | |
| Not Available |
| Full Name | Center For Authentic Living |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 Main St, Park Ridge, Illinois |
| Authorized Official Name and Position | Mari Richko (OWNER) |
| Authorized Official Contact | 8476684869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Authentic Living 120 Main St Suite 200 Park Ridge IL 60068-4044 Ph: (847) 668-4859 | Center For Authentic Living 120 Main St Suite 200 Park Ridge IL 60068-4044 Ph: (847) 668-4859 |
| NPI Number | 1417318700 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417318700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1326241860 (Illinois) | Primary |
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