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Organization

INDEPENDENCE HEALTH & THERAPY

Active
Other names
Family Alliance Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MARY FISHER (FINANCE DIRECTOR)
(815) 338-3590
Entity
Organization

Contact information

Practice address
2028 N SEMINARY AVE, WOODSTOCK, IL 60098-2626
(815) 338-3590
(815) 337-4406
Mailing address
2028 N SEMINARY AVE, WOODSTOCK, IL 60098-2626
(815) 338-3590
(815) 337-4406

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
IL

Other

Enumeration date
05/17/2006
Last updated
04/27/2023
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