Organization
SERTOMA STAR SERVICES, INC.
Active
Other names
SouthSTAR Services
Organization subpart
No
Provider details
NPI number
Authorized official
GUS VAN DEN BRINK (PRESIDENT/CEO)
(708) 730-6216
Entity
Organization
Contact information
Practice address
1005 W END AVE, CHICAGO HEIGHTS, IL 60411-2742
(708) 755-8030
(708) 755-8047
Mailing address
1005 W END AVE, CHICAGO HEIGHTS, IL 60411-2742
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
946232
IL
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
946232
IL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/14/2007
Last updated
02/12/2024
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