Mini Mental Health Services, LLC

NPI #1124744040 in Grayslake, Illinois

Provider Information

NPI Number: 1124744040
Entity Type: Organization
Organization Name: Mini Mental Health Services, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 12, 2022
Last Updated: Oct 12, 2022

Practice Location

Address: 531 1ST ST
City: Grayslake
State: Illinois
ZIP Code: 60030-1451
Phone: (708) 785-2408

Authorized Official

Name: MR. MATTHEW L MINISCALCO
Title: CO-FOUNDER & PARTNER
Phone: (708) 785-2408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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