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Organization
EPIC COMMIUNITY DEVELOPMENT CENTER, INCORPORTED
Active
Organization
EPIC COMMIUNITY DEVELOPMENT CENTER, INCORPORTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT COOPER (EXECUTIVE DIRECTOR)
(708) 674-6238
Entity
Organization
Contact information
Practice address
264 MAIN ST, PARK FOREST, IL 60466-2098
(708) 991-2221
(708) 589-1368
Mailing address
264 MAIN ST, PARK FOREST, IL 60466-2098
(708) 991-2221
(708) 991-2412
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
01/02/2019
Last updated
12/21/2022
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