Organization
MOSAIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA VYAZOVSKY (EXECUTIVE DIRECTOR)
(312) 799-9351
Entity
Organization
Contact information
Practice address
8300 CALLIE AVE, MORTON GROVE, IL 60053-3721
(312) 799-9351
Mailing address
7925 LINCOLN AVE, SKOKIE, IL 60077-3679
(312) 799-9351
(888) 975-8519
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
16002
IL
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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