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Organization

AN AU-SOME PLACE 2 BE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALORIE KERSH (OWNER)
(773) 294-0814
Entity
Organization

Contact information

Practice address
14602 CLARK ST, DOLTON, IL 60419-1526
(773) 294-0814
Mailing address
14602 CLARK ST, DOLTON, IL 60419-1526
(773) 294-0814

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
08/11/2022
Last updated
05/06/2024
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