Organization
AGE WISE CARE MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A CRONIN LCPC, CRC, CCM (OWNER/COUNSELOR)
(217) 493-3086
Entity
Organization
Contact information
Practice address
101 W TOMARAS AVE STE 5152, SAVOY, IL 61874-9547
(217) 493-3086
(888) 456-5007
Mailing address
101 W TOMARAS AVE STE 5152, SAVOY, IL 61874-9547
(217) 493-3086
(888) 456-5007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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