Organization
THE JOSSELYN CENTER NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH G. WIERSUM (VP OF FINANCE)
(847) 441-5603
Entity
Organization
Contact information
Practice address
1779 MAPLE ST, NORTHFIELD, IL 60093-3011
(847) 441-5600
(847) 441-7968
Mailing address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
(847) 441-7968
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/12/2020
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