Organization
LINQ CARE MEDICAL PROVIDER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DAVIS (CEO)
(312) 961-4490
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(800) 525-9202
(630) 882-0553
Mailing address
50 S MAIN ST STE 200, NAPERVILLE, IL 60540-5485
(770) 490-9634
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/19/2022
Last updated
06/30/2023
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