OrganizationActive
Grundy Eunoia Wellness Center Nfp
NPI 1861239790 · Adolescent and Children Mental Health Clinic/Center · Mazon, IL
Provider details
- NPI number
- 1861239790
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Parker, Billing Administrator(815) 513-3654
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Physician Assistants & Advanced Practice Nursing Providers
Practice location
606 Depot St
Mazon, IL 60444-3703
Phone: (815) 513-3654
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 74
Mazon, IL 60444-0074
Registry dates
- Enumerated
- 2024-07-09
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.