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Organization
STANDING IN THE GAP INCORPORATED
Active
Organization
STANDING IN THE GAP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANTE JONES MSW (CHIEF EXECUTIVE OFFICER)
(708) 209-7640
Entity
Organization
Contact information
Practice address
304 NEW SALEM ST, PARK FOREST, IL 60466-1137
(708) 209-7640
(708) 481-0816
Mailing address
304 NEW SALEM ST, PARK FOREST, IL 60466-1137
(708) 209-7640
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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