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Organization
SERTOMA STAR SERVICES, INC.
Active
Organization
SERTOMA STAR SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUS VAN DEN BRINK (PRESIDENT/CEO)
(708) 730-6216
Entity
Organization
Contact information
Practice address
4343 W 123RD ST, ALSIP, IL 60803-1807
(708) 755-8030
Mailing address
1005 W END AVE, CHICAGO HEIGHTS, IL 60411-2742
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/24/2024
Last updated
02/05/2024
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