| Mutual Ground, Inc. | |
|
120 Gale St Aurora IL 60506-5084 | |
| (630) 897-1003 | |
| Not Available |
| Full Name | Mutual Ground, Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 120 Gale St, Aurora, Illinois |
| Authorized Official Name and Position | Michelle Lynn Meyer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6304057137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mutual Ground, Inc. 418 Oak Ave Aurora IL 60506-3119 Ph: (630) 897-0084 | Mutual Ground, Inc. 120 Gale St Aurora IL 60506-5084 Ph: (630) 897-1003 |
| NPI Number | 1518562982 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518562982 | NPI | - | NPPES |
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