| Vita Noblesse Inc. | |
|
6006 W. 159th St Bldg A, Ste 2b/west Oak Forest IL 60452-2904 | |
| (708) 941-1174 | |
| Not Available |
| Full Name | Vita Noblesse Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 6006 W. 159th St, Oak Forest, Illinois |
| Authorized Official Name and Position | D'loreyn Walker (PRESIDENT/OWNER) |
| Authorized Official Contact | 7089411174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vita Noblesse Inc. 6006 W. 159th St Bldg A, Ste 2b/west Oak Forest IL 60452-2904 Ph: (708) 941-1174 | Vita Noblesse Inc. 6006 W. 159th St Bldg A, Ste 2b/west Oak Forest IL 60452-2904 Ph: (708) 941-1174 |
| NPI Number | 1346515244 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 03/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346515244 | NPI | - | NPPES |
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