Organization
PROJECT THRIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEYLOR JOHNSON (FOUNDER/CEO)
(708) 368-9771
Entity
Organization
Contact information
Practice address
4747 LINCOLN MALL DR STE 600, MATTESON, IL 60443-3817
(708) 368-9771
(773) 901-3764
Mailing address
4747 LINCOLN MALL DR STE 600, MATTESON, IL 60443-3817
(708) 368-9771
(773) 901-3764
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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