| Libra Clinical Services, Llc | |
|
328 S 3rd St Geneva IL 60134-2772 | |
| (630) 642-9089 | |
| Not Available |
| Full Name | Libra Clinical Services, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 328 S 3rd St, Geneva, Illinois |
| Authorized Official Name and Position | Diana Uchiyama (OWNER) |
| Authorized Official Contact | 6306429089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Libra Clinical Services, Llc 1542 Wadsworth Rd Wheaton IL 60189-7442 Ph: (630) 642-9089 | Libra Clinical Services, Llc 328 S 3rd St Geneva IL 60134-2772 Ph: (630) 642-9089 |
| NPI Number | 1902423361 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902423361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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