Organization
NURTURING EMOTIONAL WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE WILSON (CEO)
(708) 212-3606
Entity
Organization
Contact information
Practice address
17732 OAK PARK AVE STE K, TINLEY PARK, IL 60477-2064
(708) 212-3606
Mailing address
17732 OAK PARK AVE STE K, TINLEY PARK, IL 60477-2064
(708) 212-3606
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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