Social Lite Llc | |
17956 Wildwood Ave Lansing IL 60438-2220 | |
(708) 653-7377 | |
Not Available |
Full Name | Social Lite Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 17956 Wildwood Ave, Lansing, Illinois |
Authorized Official Name and Position | Martin A Mccary (MEMBER) |
Authorized Official Contact | 7086537377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Social Lite Llc 7951 Calumet Ave Munster IN 46321-1215 Ph: (708) 653-7377 | Social Lite Llc 17956 Wildwood Ave Lansing IL 60438-2220 Ph: (708) 653-7377 |
NPI Number | 1154157428 |
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Provider Enumeration Date | 09/12/2024 |
Last Update Date | 09/12/2024 |
Certification Date | 09/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154157428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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