| Cultivate Behavioral Health And Education- Illinois | |
|
11055 S Nagle Ave Apt 5 Worth IL 60482-1655 | |
| (224) 703-0502 | |
| Not Available |
| Full Name | Cultivate Behavioral Health And Education- Illinois |
|---|---|
| Speciality | Behavior Analyst |
| Location | 11055 S Nagle Ave Apt 5, Worth, Illinois |
| Authorized Official Name and Position | Ozzie Holmgren (REGIONAL VICE PRESIDENT) |
| Authorized Official Contact | 6318044268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Behavioral Health And Education- Illinois 11055 S Nagle Ave Apt 5 Worth IL 60482-1655 Ph: (224) 703-0502 | Cultivate Behavioral Health And Education- Illinois 11055 S Nagle Ave Apt 5 Worth IL 60482-1655 Ph: (224) 703-0502 |
| NPI Number | 1467058404 |
|---|---|
| Provider Enumeration Date | 12/06/2020 |
| Last Update Date | 12/06/2020 |
| Certification Date | 12/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467058404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Suna Matarieh And Associates Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7059 W 111th St, Suite B, Worth, IL 60482 Phone: 708-557-1112 | |
Helping Humanity Heal Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7012 W 111th St # 1354, Worth, IL 60482 Phone: 630-538-3728 |