| Grundy Eunoia Wellness Center Nfp | |
|
606 Depot St Mazon IL 60444-3703 | |
| (815) 513-3654 | |
| Not Available |
| Full Name | Grundy Eunoia Wellness Center Nfp |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 606 Depot St, Mazon, Illinois |
| Authorized Official Name and Position | Julianne Buck (MANAGER) |
| Authorized Official Contact | 8159410852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grundy Eunoia Wellness Center Nfp Po Box 74 Mazon IL 60444-0074 Ph: () - | Grundy Eunoia Wellness Center Nfp 606 Depot St Mazon IL 60444-3703 Ph: (815) 513-3654 |
| NPI Number | 1861239790 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861239790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |