Community Clinic Center, Ltd

NPI #1881878494 in Woodstock, Illinois

Provider Information

NPI Number: 1881878494
Entity Type: Organization
Organization Name: Community Clinic Center, Ltd
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 19, 2007
Last Updated: Dec 19, 2007

Practice Location

Address: 666 RUSSEL CT
Address 2: SUITE 105
City: Woodstock
State: Illinois
ZIP Code: 60098-2670
Phone: (815) 338-7749

Authorized Official

Name: MR. ROBERT L MEYER, PHD
Title: LICENSED CLINICAL PSYCHOLOGIST
Phone: (815) 338-7749

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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