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Organization
RESURRECTION BEHAVIORAL HEALTH
Active
Organization
RESURRECTION BEHAVIORAL HEALTH
Active
Other names
Proviso Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD PINKSTON LCSW (MANAGER)
(708) 681-0073
Entity
Organization
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
(708) 681-3958
Mailing address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
(708) 681-3958
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
178.007422
IL
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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