| Mosaic Unlimited Inc | |
|
9 Junction Dr W Suite 2 Glen Carbon IL 62034 | |
| (618) 407-0900 | |
| (618) 205-3275 |
| Full Name | Mosaic Unlimited Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9 Junction Dr W, Glen Carbon, Illinois |
| Authorized Official Name and Position | Renee Keller (DIRECTOR) |
| Authorized Official Contact | 6184070900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Unlimited Inc 9 Junction Dr W Ste 5 Glen Carbon IL 62034-2931 Ph: (618) 407-0900 | Mosaic Unlimited Inc 9 Junction Dr W Suite 2 Glen Carbon IL 62034 Ph: (618) 407-0900 |
| NPI Number | 1124379755 |
|---|---|
| Provider Enumeration Date | 09/22/2012 |
| Last Update Date | 07/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124379755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149015007 (Illinois) | Primary |
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