Organization
CYNTHIAS CERAMIC PAINT A GIFT HOBBY STUDIO
Active
Other names
progress in motion
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA JOHNSON (PRESIDENT)
(773) 648-1429
Entity
Organization
Contact information
Practice address
10625 S MICHIGAN AVE, CHICAGO, IL 60628-2707
(773) 648-1429
(773) 568-0832
Mailing address
10625 S MICHIGAN AVE, CHICAGO, IL 60628-2707
(773) 648-1429
(773) 568-0832
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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