| One Hope United Northern Region | |
|
3077 W Jefferson St Ste 105 Joliet IL 60435-5263 | |
| (815) 730-6700 | |
| Not Available |
| Full Name | One Hope United Northern Region |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3077 W Jefferson St Ste 105, Joliet, Illinois |
| Authorized Official Name and Position | Heather Christine Kelly (DIRECTOR, BEHAVIORAL HEALTH) |
| Authorized Official Contact | 2172735398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Hope United Northern Region 3077 W Jefferson St Ste 105 Joliet IL 60435-5263 Ph: (815) 730-6700 | One Hope United Northern Region 3077 W Jefferson St Ste 105 Joliet IL 60435-5263 Ph: (815) 730-6700 |
| NPI Number | 1881413748 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881413748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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