T.h.a.t Life
NPI #1730892258 in Plainfield, Illinois
Provider Information
- NPI Number
- 1730892258
- Entity Type
- Organization
- Organization Name
- T.h.a.t Life
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Dec 29, 2022
- Last Updated
- Dec 29, 2022
Practice Location
- Address
- 2314 ILLINOIS ROUTE 59 #111
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60586
- Phone
- (815) 556-9430
Authorized Official
- Name
- HIRAM WHITE
- Title
- CO-CHAIR
- Phone
- (815) 556-9430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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