| Strength In Darkness Llc | |
|
5810 107th Court Way Apt 12 Chicago Ridge IL 60415-1944 | |
| (708) 973-9149 | |
| Not Available |
| Full Name | Strength In Darkness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5810 107th Court Way Apt 12, Chicago Ridge, Illinois |
| Authorized Official Name and Position | Jacqueline Anthony (OWNER) |
| Authorized Official Contact | 7089739149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strength In Darkness Llc 5810 107th Court Way Apt 12 Chicago Ridge IL 60415-1944 Ph: (708) 973-9149 | Strength In Darkness Llc 5810 107th Court Way Apt 12 Chicago Ridge IL 60415-1944 Ph: (708) 973-9149 |
| NPI Number | 1295541779 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295541779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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