Organization
RESURRECTION HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REUBEN HURD BA (BEHAVIORAL HEALTH TECH)
17086810073
Entity
Organization
Contact information
Practice address
1414 MAIN ST, MELROSE PARK, IL 60160-3902
(708) 681-0073
Mailing address
1414 MAIN ST., MELROSE PARK, IL 60160-1234
(708) 681-0073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM08O1X
IL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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