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Organization
HEPHZIBAH CHILDREN'S ASSOCIATION
Active
Organization
HEPHZIBAH CHILDREN'S ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY K TORTORICI (DIRECTOR OF FINANCE)
(708) 649-7140
Entity
Organization
Contact information
Practice address
946 NORTH BLVD, OAK PARK, IL 60301-1205
(708) 649-7100
(708) 649-7102
Mailing address
1144 LAKE ST FL 5, OAK PARK, IL 60301-6706
(708) 649-7140
(708) 649-7194
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/12/2021
Last updated
06/18/2021
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