Organization
MUTUAL GROUND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNN MEYER MBA (EXECUTIVE DIRECTOR)
(630) 405-7137
Entity
Organization
Contact information
Practice address
120 GALE ST, AURORA, IL 60506-5084
(630) 897-1003
Mailing address
418 OAK AVE, AURORA, IL 60506-3119
(630) 897-0084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/18/2020
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