institution
Vital Roots Inc
Mental Health Clinic/Center (Including Community Mental Health Center) in Carbondale, Illinois
NPI 1720663818

Vital Roots Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Carbondale, IL and is specialized in Mental Health (Including Community Mental Health Center). Vital Roots Inc practices in Carbondale, IL. The NPI Number for Vital Roots Inc is 1720663818 and holds a License No. (Illinois).

The current practice location address for Vital Roots Inc is 6929 Apple Ln Apt 2, Carbondale, IL and can be reached out via phone at 833-337-6687.

Location: 6929 Apple Ln Apt 2, Carbondale, IL, 62902-0302
institution
Provider Profile Details
NPI Number
1720663818
Provider Name
Vital Roots Inc
Credential
Provider Entity Type
Organization
Address
6929 Apple Ln Apt 2, Carbondale, IL, 62902-0302
Phone Number
833-337-6687
Fax Number
Provider Enumeration Date
03/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6929 Apple Ln Apt 2
City
State
Zip
62902-0302
Phone Number
833-337-6687
Fax Number
person
Provider Business Mailing Address Details
Address
6929 Apple Ln Apt 2
City
State
Zip
62902-0302
Phone Number
833-337-6687
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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