Fampac Wellness Center
Clinic/Center, Adult Mental Health in Olympia Fields, IL. Organization (NPI-2).
NPI number1437966462
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1437966462
- Entity type
- Organization (NPI-2)
- Legal business name
- Fampac Wellness Center
- Organization subpart
- No
- Enumeration date
- Dec 13, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Fampac Wellness Center (Doing Business As)
Practice location
20200 Governors Dr Fl 3Olympia Fields, IL 60461-1032
Phone 312-530-9977
Mailing address
20200 Governors Dr Fl 3Olympia Fields, IL 60461-1032
Authorized official
Michelle-Ann Rhoden-Neita
Ceo
3125309977
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