Organization
MENTAL HEALTH AND DEAFNESS RESOURCES, INC.
Active
Other names
Prairieview 2
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL FISHER (ADMINISTRATOR)
(847) 509-8260
Entity
Organization
Contact information
Practice address
3024 E OAKLAND AVE, BLOOMINGTON, IL 61704-6214
(309) 661-1605
Mailing address
614 ANTHONY TRL, NORTHBROOK, IL 60062-2540
(847) 509-8260
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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