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Organization
BLACKBIRD BEHAVIORAL HEALTH, PC
Active
Organization
BLACKBIRD BEHAVIORAL HEALTH, PC
Active
Other names
BlackBird Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON K BLACK PSY.D. (DIRECTOR)
(708) 209-8987
Entity
Organization
Contact information
Practice address
715 LAKE ST STE 410, OAK PARK, IL 60301-1413
(708) 209-8987
Mailing address
633 CARPENTER AVE, OAK PARK, IL 60304-1104
(708) 209-8987
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
03/26/2018
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