| Northwest Treatment Associates Inc | |
|
645 Mchenry Ave Woodstock IL 60098-2922 | |
| (815) 337-1234 | |
| Not Available |
| Full Name | Northwest Treatment Associates Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 645 Mchenry Ave, Woodstock, Illinois |
| Authorized Official Name and Position | Georgia Ellen Fleming (OFFICE MANAGER) |
| Authorized Official Contact | 8476088570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Treatment Associates Inc 645 Mchenry Ave Woodstock IL 60098-2922 Ph: (815) 337-1234 | Northwest Treatment Associates Inc 645 Mchenry Ave Woodstock IL 60098-2922 Ph: (815) 337-1234 |
| NPI Number | 1386250991 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/18/2020 |
| Certification Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386250991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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