Organization
SERTOMA CENTRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUS VAN DEN BRINK MSW, LPHA (EXECUTIVE DIRECTOR)
(708) 730-6216
Entity
Organization
Contact information
Practice address
4100 W 127TH ST, ALSIP, IL 60803-1925
(708) 371-9700
(708) 389-3984
Mailing address
4343 W 123RD ST, ALSIP, IL 60803-1807
(708) 730-6216
(708) 371-9747
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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