CENTER FOR AUTHENTIC LIVING NPI 1417318700

NPI Information

CENTER FOR AUTHENTIC LIVING is a mental health counselor in Park Ridge, IL. CENTER FOR AUTHENTIC LIVING NPI is 1417318700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

120 MAIN ST
SUITE 200
PARK RIDGE, IL
ZIP 60068-044
Phone: (847) 668-4859

The provider's authorized official is Mari Richko .
The authorized official title is Owner and has the following contact phone number (847) 668-4869.

The CLIA number assigned to this NPI record is 14D1079694 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2016 and was last updated on 3/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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