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Contact Information

MOSAIC UNLIMITED INC
9 JUNCTION DR W
SUITE 2
GLEN CARBON, IL62034
 Phone: 618-407-0900
 Fax: 618-205-3275
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MOSAIC UNLIMITED INC

NPI # 1124379755
LBN Legal business name MOSAIC UNLIMITED INC
Authorized official RENEE KELLER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2012
Last updated 07/25/2018 - About 8 years ago
Identifiers
IL License # 149015007
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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