Organization Name: | PSYCHOLOGICAL WELLNESS CENTER, INC. |
NPI Number: | 1104941798 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE SZUMIGALSKI (OWNER & PRESIDENT) |
Mailing Address: | 1030 S La Grange Rd Suite 8 La Grange |
State: | IL US |
Postal Code: | 605252800 |
Phone Number: | 7083522597 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |