Organization
NOTRE DAME FAMILY CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE WATZKE JOHNSON EDD, BCPC, LMFT (CHIEF OPERATING OFFICER)
(708) 671-8199
Entity
Organization
Contact information
Practice address
12919 S 86TH AVE, PALOS PARK, IL 60464-1818
(505) 204-8404
Mailing address
12919 S 86TH AVE, PALOS PARK, IL 60464-1818
(708) 671-8199
(312) 277-3544
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
03/17/2018
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