Organization
THE MAYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELLEN WITHERS LCSW (OWNER PSYCHOTHERAPIST)
(708) 209-8560
Entity
Organization
Contact information
Practice address
137 N OAK PARK AVE, SUITE 408-1, OAK PARK, IL 60301-1344
(708) 209-8560
Mailing address
137 N OAK PARK AVE, SUITE 408-1, OAK PARK, IL 60301-1344
(708) 209-8560
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
248000855 149006998
IL
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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