| Just A Mile Away Mental Health Services Inc. | |
|
1440 W. Taylor St Chicago IL 60607-0000 | |
| (312) 470-0610 | |
| Not Available |
| Full Name | Just A Mile Away Mental Health Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1440 W. Taylor St, Chicago, Illinois |
| Authorized Official Name and Position | Tatiana Lane (CEO) |
| Authorized Official Contact | 7736780707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Just A Mile Away Mental Health Services Inc. Po Box 440312 Chicago IL 60644-0306 Ph: () - | Just A Mile Away Mental Health Services Inc. 1440 W. Taylor St Chicago IL 60607-0000 Ph: (312) 470-0610 |
| NPI Number | 1083316392 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083316392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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