Organization
BROWNSTONE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH M JOHNSON (EXECUTIVE DIRECTOR)
(708) 431-1446
Entity
Organization
Contact information
Practice address
236 W 17TH ST, CHICAGO HEIGHTS, IL 60411-3326
(708) 431-1446
Mailing address
236 W 17TH ST, CHICAGO HEIGHTS, IL 60411-3326
(708) 431-1446
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201800003C
IL
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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