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Organization
EXPRESSIVE ARTS SERVICES LLC
Active
Organization
EXPRESSIVE ARTS SERVICES LLC
Active
Other names
Expressive Arts Services
Organization subpart
No
Provider details
NPI number
Authorized official
TAKENYA WHITE ATR (CEO/DIRECTOR)
(708) 704-5384
Entity
Organization
Contact information
Practice address
13136 WESTERN AVE, BLUE ISLAND, IL 60406-2423
(708) 362-7559
Mailing address
15323 BRIAR LN, OAK FOREST, IL 60452-1906
(708) 362-7559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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