Positive Development Of California Pc | |
155 N Pfingsten Rd Ste 100 Deerfield IL 60015-4961 | |
(833) 587-1784 | |
(954) 756-9593 |
Full Name | Positive Development Of California Pc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 155 N Pfingsten Rd Ste 100, Deerfield, Illinois |
Authorized Official Name and Position | Cameron Lee Keirnes (GENERAL MANAGER) |
Authorized Official Contact | 4256263458 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Positive Development Of California Pc 8605 Santa Monica Blvd Pmb 90451 West Hollywood CA 90069-4109 Ph: (833) 587-1784 | Positive Development Of California Pc 155 N Pfingsten Rd Ste 100 Deerfield IL 60015-4961 Ph: (833) 587-1784 |
NPI Number | 1265121214 |
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Provider Enumeration Date | 05/04/2023 |
Last Update Date | 11/07/2023 |
Certification Date | 11/07/2023 |
Identifier | Type | State | Issuer |
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1265121214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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