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Organization
CTF ILLINOIS
Active
Organization
CTF ILLINOIS
Active
Other names
ACCESS Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI L CODY (EXECUTIVE ASSISTANT)
(708) 429-1260
Entity
Organization
Contact information
Practice address
530 E 162ND ST, SOUTH HOLLAND, IL 60473-2326
(708) 429-1260
(708) 429-9701
Mailing address
18230 ORLAND PKWY, ORLAND PARK, IL 60467-5688
(708) 429-1260
(708) 429-9107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
4128
IL
261QM0850X
Adult Mental Health Clinic/Center
4128
IL
Other
Enumeration date
12/29/2015
Last updated
02/15/2023
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