| The Centre, Llc | |
|
2026 Samantha Joy Ln Bolingbrook IL 60490-5626 | |
| (231) 330-6446 | |
| Not Available |
| Full Name | The Centre, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2026 Samantha Joy Ln, Bolingbrook, Illinois |
| Authorized Official Name and Position | Bernadette Helen Beyer (OWNER) |
| Authorized Official Contact | 2313306446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Centre, Llc 2026 Samantha Joy Ln Bolingbrook IL 60490-5626 Ph: (231) 330-6446 | The Centre, Llc 2026 Samantha Joy Ln Bolingbrook IL 60490-5626 Ph: (231) 330-6446 |
| NPI Number | 1942573829 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 07/27/2020 |
| Certification Date | 07/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942573829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4101005193 (Michigan) | Primary |
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