Organization
GLC WELLNESS CENTER CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY GRIFFIN (CEO)
(877) 767-1692
Entity
Organization
Contact information
Practice address
7114 S JEFFERY BLVD, CHICAGO, IL 60649-2426
(877) 767-1692
Mailing address
PO BOX 3543, OAK BROOK, IL 60522-3543
(312) 999-0808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/02/2020
Last updated
12/24/2024
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