The Vitality Center | |
701 Devonshire Dr Ste C19 Champaign IL 61820-7352 | |
(309) 431-5381 | |
Not Available |
Full Name | The Vitality Center |
---|---|
Speciality | Counselor - Mental Health |
Location | 701 Devonshire Dr Ste C19, Champaign, Illinois |
Authorized Official Name and Position | Imani Harrison (OWNER) |
Authorized Official Contact | 2172550346 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Vitality Center 701 Devonshire Dr Ste C19 Champaign IL 61820-7352 Ph: (309) 431-5381 | The Vitality Center 701 Devonshire Dr Ste C19 Champaign IL 61820-7352 Ph: (309) 431-5381 |
NPI Number | 1114701554 |
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Provider Enumeration Date | 08/24/2023 |
Last Update Date | 08/24/2023 |
Certification Date | 08/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114701554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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