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Organization
COMMUNITY CLINIC CENTER, LTD
Active
Organization
COMMUNITY CLINIC CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L MEYER PHD (LICENSED CLINICAL PSYCHOLOGIST)
(815) 338-7749
Entity
Organization
Contact information
Practice address
666 RUSSEL CT, SUITE 105, WOODSTOCK, IL 60098-2670
(815) 338-7749
(815) 338-7728
Mailing address
666 RUSSEL CT, SUITE 105, WOODSTOCK, IL 60098-2670
(815) 338-7749
(815) 338-7728
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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