Organization
PARENTS WITH PROMISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENICE MARIE MOCK LCSW (DIRECTOR)
(815) 758-1358
Entity
Organization
Contact information
Practice address
810 S 4TH ST, DEKALB, IL 60115-4410
(815) 758-1358
(815) 758-1580
Mailing address
810 S 4TH ST, DEKALB, IL 60115-4410
(815) 758-1358
(815) 758-1580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/30/2012
Last updated
12/18/2012
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