Organization
AMB BEHAVIORAL HEALTH PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FETHERLING LCSW (CEO)
(312) 241-0554
Entity
Organization
Contact information
Practice address
1111 CLOVER HILL LN, ELGIN, IL 60120-2395
(312) 241-0554
Mailing address
1111 CLOVER HILL LN, ELGIN, IL 60120-2395
(312) 241-0554
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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