Organization
CHILDRENS MANSION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDA MONTEZ SMITH (PRESIDENT)
(800) 430-8150
Entity
Organization
Contact information
Practice address
430 E 162ND ST STE 430, SOUTH HOLLAND, IL 60473-2258
(800) 430-8150
(800) 430-8150
Mailing address
430 E 162ND ST STE 430, SOUTH HOLLAND, IL 60473-2258
(800) 430-8150
(800) 430-8150
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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