Organization
MINI MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW L MINISCALCO (CO-FOUNDER & PARTNER)
(708) 785-2408
Entity
Organization
Contact information
Practice address
531 1ST ST, GRAYSLAKE, IL 60030-1451
(708) 785-2408
Mailing address
531 1ST ST, GRAYSLAKE, IL 60030-1451
(708) 785-2408
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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