# ASD LIFE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Autism Therapy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427405745
- **Authorized official:** RANIA MUHEISEN (CEO)
- **Authorized official phone:** (630) 754-6314

## Contact information

- **Practice address:** 11301 S HARLEM AVE, WORTH, IL 60482-2001
- **Practice address phone:** (708) 586-2604
- **Practice address fax:** (866) 823-8780
- **Mailing address:** 11301 S HARLEM AVE, WORTH, IL 60482-2001
- **Mailing address phone:** (630) 631-9623
- **Mailing address fax:** (866) 823-8780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 01/28/2025