| Arrow Defined Therapeutic Services, Llc | |
|
11923 Longwood Dr # 2 Blue Island IL 60406-1223 | |
| (832) 631-2253 | |
| Not Available |
| Full Name | Arrow Defined Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11923 Longwood Dr # 2, Blue Island, Illinois |
| Authorized Official Name and Position | Shaniqua Miles (SUPERVISOR) |
| Authorized Official Contact | 7736915306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arrow Defined Therapeutic Services, Llc 7901 Amelia Rd # J172 Houston TX 77055-1684 Ph: () - | Arrow Defined Therapeutic Services, Llc 11923 Longwood Dr # 2 Blue Island IL 60406-1223 Ph: (832) 631-2253 |
| NPI Number | 1831848027 |
|---|---|
| Provider Enumeration Date | 03/23/2022 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831848027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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