| Melanated Wellness, Nfp | |
|
1370 S White Oak Dr Apt 121 Waukegan IL 60085-8345 | |
| (773) 677-6824 | |
| Not Available |
| Full Name | Melanated Wellness, Nfp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1370 S White Oak Dr Apt 121, Waukegan, Illinois |
| Authorized Official Name and Position | Heather Andrea Perkins (CEO) |
| Authorized Official Contact | 7736776824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melanated Wellness, Nfp 1370 S White Oak Dr Apt 121 Waukegan IL 60085-8345 Ph: (773) 677-6824 | Melanated Wellness, Nfp 1370 S White Oak Dr Apt 121 Waukegan IL 60085-8345 Ph: (773) 677-6824 |
| NPI Number | 1235725482 |
|---|---|
| Provider Enumeration Date | 12/11/2020 |
| Last Update Date | 12/11/2020 |
| Certification Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235725482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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