Organization
JUST A MILE AWAY MENTAL HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TATIANA LANE MBA (OWNER)
(773) 678-0707
Entity
Organization
Contact information
Practice address
4415 W MONROE ST, CHICAGO, IL 60624-2545
(773) 678-0707
Mailing address
PO BOX 440312, CHICAGO, IL 60644-0306
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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