Organization
KALA D ANDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALA D ANDERS (OWNER)
(331) 442-7815
Entity
Organization
Contact information
Practice address
5844 ELAINE DR STE 3, ROCKFORD, IL 61108-2494
(331) 442-7815
Mailing address
123 BEIRIGER DR, DYER, IN 46311-2178
(331) 442-7815
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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