Organization
SOUTHWEST DISABILITIES SERVICES & SUPPORT NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUBEN FREDERICK GOODWIN SR. (EXECUTIVE DIRECTOR)
(708) 753-1670
Entity
Organization
Contact information
Practice address
286 E 16TH ST, CHICAGO HEIGHTS, IL 60411-3730
(708) 753-1670
(708) 753-1679
Mailing address
286 E 16TH ST, CHICAGO HEIGHTS, IL 60411-3730
(708) 753-1670
(708) 753-1679
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/01/2009
Last updated
05/13/2015
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