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Organization

ARDENT COMMUNITY WELLNESS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN BAYNES (EXECUTIVE DIRECTOR)
(630) 473-3091
Entity
Organization

Contact information

Practice address
3166 N LINCOLN AVE, SUITE 401, CHICAGO, IL 60657-3133
(630) 473-3091
Mailing address
684 S BARRINGTON RD, STUITE 112, STREAMWOOD, IL 60107-1841

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
251S00000X
Community/Behavioral Health Agency
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
15018
IL

Other

Enumeration date
08/14/2014
Last updated
04/25/2018
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