Organization
RESTORATION MBS CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CORNELL G. BADETTE CADC (DIRECTOR 1)
(630) 660-6308
Entity
Organization
Contact information
Practice address
1127 S MANNHEIM RD, SUITE 216, WESTCHESTER, IL 60154-2570
(708) 483-8320
(708) 483-8321
Mailing address
1127 S MANNHEIM RD, SUITE 216, WESTCHESTER, IL 60154-2570
(708) 483-8320
(708) 483-8321
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
A-3821-0001-A
IL
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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