Organization
LIBRA CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA UCHIYAMA PSYD (OWNER)
(630) 642-9089
Entity
Organization
Contact information
Practice address
328 S 3RD ST, GENEVA, IL 60134-2772
(630) 642-9089
Mailing address
1542 WADSWORTH RD, WHEATON, IL 60189-7442
(630) 642-9089
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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