Organization
NIA INTEGRATIVE HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JOHNSON PSYD (CLINICAL PSYCHOLOGIST)
(708) 228-9492
Entity
Organization
Contact information
Practice address
1122 WESTGATE ST STE 201A, OAK PARK, IL 60301-1170
(708) 228-9492
Mailing address
1122 WESTGATE ST STE 201A, OAK PARK, IL 60301-1170
(708) 228-9492
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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