| Mttf | |
|
13913 S State St Riverdale IL 60827-2019 | |
| (773) 818-3424 | |
| Not Available |
| Full Name | Mttf |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13913 S State St, Riverdale, Illinois |
| Authorized Official Name and Position | Latekia Sims (PRESIDENT) |
| Authorized Official Contact | 7738183424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mttf 13913 S State St Riverdale IL 60827-2019 Ph: (773) 818-3424 | Mttf 13913 S State St Riverdale IL 60827-2019 Ph: (773) 818-3424 |
| NPI Number | 1144864513 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 07/02/2020 |
| Certification Date | 07/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144864513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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