Laynie Foundation

NPI #1932442571 in Matteson, Illinois

Provider Information

NPI Number: 1932442571
Entity Type: Organization
Organization Name: Laynie Foundation
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Apr 2, 2013
Last Updated: Apr 2, 2013

Practice Location

Address: 4747 LINCOLN MALL DR
Address 2: SUITE 604
City: Matteson
State: Illinois
ZIP Code: 60443-3811
Phone: (708) 617-8548

Authorized Official

Name: DR. SUMMER A MATHESON, PHD
Title: C.O.O.
Phone: (708) 617-8548

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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