P.a.t.s. Prevention And Treatment Services | |
300 S Broadway Ave Ste 110 A Urbana IL 61801-3449 | |
(217) 954-1128 | |
(217) 954-1514 |
Full Name | P.a.t.s. Prevention And Treatment Services |
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Speciality | Social Worker - Clinical |
Location | 300 S Broadway Ave, Urbana, Illinois |
Authorized Official Name and Position | Patricia A Ray (OWNER) |
Authorized Official Contact | 2179541128 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
P.a.t.s. Prevention And Treatment Services 300 S Broadway Ave Ste 110 A Urbana IL 61801-3449 Ph: (217) 954-1128 | P.a.t.s. Prevention And Treatment Services 300 S Broadway Ave Ste 110 A Urbana IL 61801-3449 Ph: (217) 954-1128 |
NPI Number | 1295132728 |
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Provider Enumeration Date | 11/26/2014 |
Last Update Date | 11/26/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295132728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149009355 (Illinois) | Primary |
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