Mgm Therapy & Behavioral Treatment Corporation
NPI #1215480207 in Calumet Park, Illinois
Provider Information
- NPI Number
- 1215480207
- Entity Type
- Organization
- Organization Name
- Mgm Therapy & Behavioral Treatment Corporation
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 26, 2016
- Last Updated
- Jul 27, 2016
Practice Location
- Address
- 12856 S PAULINA ST
- City
- Calumet Park
- State
- Illinois
- ZIP Code
- 60827-5951
- Phone
- (708) 724-5898
Authorized Official
- Name
- MS. MICHELLE GLYNISE MOORE, DT
- Title
- DEVELOPMENTAL THERAPY
- Phone
- (708) 698-0714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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