Organization
GENUINE HEARTS BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS LANG (MANAGER)
(872) 207-5028
Entity
Organization
Contact information
Practice address
400 W 76TH ST, UNIT 216A, CHICAGO, IL 60620-1640
(872) 207-5028
Mailing address
400 W 76TH ST, UNIT 216A, CHICAGO, IL 60620-1640
(872) 207-5028
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04826191
IL
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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