Edgewood Clinical Services of Plainfield
NPI #1043464803 in Plainfield, Illinois
Provider Information
- NPI Number
- 1043464803
- Entity Type
- Organization
- Organization Name
- Edgewood Clinical Services of Plainfield
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Nov 6, 2008
- Last Updated
- Nov 6, 2008
Practice Location
- Address
- 14722 S NAPERVILLE RD
- Address 2
- SUITE 112
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60544-3302
- Phone
- (630) 428-7890
Authorized Official
- Name
- ADAM RUSSO, LCSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (630) 428-7890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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