| Positive Development Of California Pc | |
|
1 Bronze Pointe Blvd Ste 2a Swansea IL 62226-1045 | |
| (833) 587-1784 | |
| (954) 756-9593 |
| Full Name | Positive Development Of California Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1 Bronze Pointe Blvd Ste 2a, Swansea, Illinois |
| Authorized Official Name and Position | Cameron Lee Keirnes (GENERAL MANAGER) |
| Authorized Official Contact | 4256263458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Development Of California Pc 8605 Santa Monica Blvd Pmb 90451 West Hollywood CA 90069-4109 Ph: (833) 587-1784 | Positive Development Of California Pc 1 Bronze Pointe Blvd Ste 2a Swansea IL 62226-1045 Ph: (833) 587-1784 |
| NPI Number | 1447949490 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447949490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Gateway Foundation, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bronze Point, Suite 1, Swansea, IL 62226 Phone: 877-505-4673 Fax: 618-234-0127 | |
Sihf Healthcare - Childcare Physicians Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4969 Benchmark Centre Dr Ste 100, Swansea, IL 62226 Phone: 618-235-2311 | |
Amaryllis Mind, Body, & Soul Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4509 N Illinois St, Swansea, IL 62226 Phone: 314-669-5060 | |
Elevated Heights Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Bronze Pointe N Ste B, Swansea, IL 62226 Phone: 618-235-3857 | |
Rock Rose Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4509 N Illinois St Ste 2, Swansea, IL 62226 Phone: 618-207-1398 | |
Paige Towers Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4509 N Illinois St Ste 5, Swansea, IL 62226 Phone: 618-210-1346 | |
Bridgewater Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 N Illinois St Ste 1, Swansea, IL 62226 Phone: 618-407-0900 |