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Organization
ASD LIFE INC.
Active
Organization
ASD LIFE INC.
Active
Other names
Autism Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANIA MUHEISEN (CEO)
(630) 754-6314
Entity
Organization
Contact information
Practice address
11301 S HARLEM AVE, WORTH, IL 60482-2001
(708) 586-2604
(866) 823-8780
Mailing address
11301 S HARLEM AVE, WORTH, IL 60482-2001
(630) 631-9623
(866) 823-8780
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
1-15-20882
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/17/2016
Last updated
01/28/2025
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