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Self Empowerment Center, P.c.
Adolescent and Children Mental Health Clinic/Center in Wheaton, Illinois
NPI 1134301815

Self Empowerment Center, P.c. is an Adolescent and Children Mental Health Clinic/Center based in Wheaton, IL and is specialized in Adolescent and Children Mental Health. Self Empowerment Center, P.c. practices in Wheaton, IL. The NPI Number for Self Empowerment Center, P.c. is 1134301815 and holds a License No. 071-005733 (Illinois).

The current practice location address for Self Empowerment Center, P.c. is 1751 S Naperville Rd, Wheaton, IL and can be reached out via phone at 630-774-8316 and via fax at 630-690-3353.

Location: 1751 S Naperville Rd, Wheaton, IL, 60189-5896
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134301815
Provider Name
Self Empowerment Center, P.c.
Credential
Provider Entity Type
Organization
Address
1751 S Naperville Rd, Wheaton, IL, 60189-5896
Phone Number
630-774-8316
Fax Number
630-690-3353
Provider Enumeration Date
12/04/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01623115 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1751 S Naperville Rd
City
Wheaton
State
Illinois
Zip
60189-5896
Phone Number
630-774-8316
Fax Number
630-690-3353
person
Provider Business Mailing Address Details
Address
1751 S Naperville Rd
City
Wheaton
State
Illinois
Zip
60189-5896
Phone Number
630-774-8316
Fax Number
630-690-3353
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
071-005466 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
071-005733 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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