| New Foundation Center Inc | |
|
4343 Old Grand Ave Gurnee IL 60031-2767 | |
| (847) 672-8525 | |
| (847) 672-9493 |
| Full Name | New Foundation Center Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4343 Old Grand Ave, Gurnee, Illinois |
| Authorized Official Name and Position | Susan Shimon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8475012939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Foundation Center Inc 444 W Frontage Rd Northfield IL 60093-3009 Ph: (847) 501-2939 | New Foundation Center Inc 4343 Old Grand Ave Gurnee IL 60031-2767 Ph: (847) 672-8525 |
| NPI Number | 1104229988 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104229988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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