| Fampac Wellness Center | |
|
20200 Governors Dr Fl 3 Olympia Fields IL 60461-1032 | |
| (312) 530-9977 | |
| Not Available |
| Full Name | Fampac Wellness Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 20200 Governors Dr Fl 3, Olympia Fields, Illinois |
| Authorized Official Name and Position | Michelle-ann Rhoden-neita (CEO) |
| Authorized Official Contact | 3125309977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fampac Wellness Center 20200 Governors Dr Fl 3 Olympia Fields IL 60461-1032 Ph: () - | Fampac Wellness Center 20200 Governors Dr Fl 3 Olympia Fields IL 60461-1032 Ph: (312) 530-9977 |
| NPI Number | 1437966462 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437966462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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