Organization
ACTIVE VISIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FRANCES FARRELLY LSW (QIDP, QMHP)
(773) 594-0921
Entity
Organization
Contact information
Practice address
6416 N LEHIGH AVE, CHICAGO, IL 60646-2704
(773) 594-0921
(773) 594-1238
Mailing address
6416 N LEHIGH AVE, CHICAGO, IL 60646-2704
(773) 594-0921
(773) 594-1238
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
150.010895
IL
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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