Organization · Type 2 NPI
Intentional Living LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL
NPI number
1568091098
Active
Practice location
1041 N Western Ave Fl 1
Chicago, IL 60622-3571
Mailing address
1841 N Monticello Ave Apt 1E
Chicago, IL 60647-4741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1568091098
Intentional Living LLC's National Provider Identifier is 1568091098, issued on Apr 6, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Apr 6, 2020.