Organization
JEREMIAH COMMUNITY OUTREACH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY ANN GOLLADAY CADC (EXECUTIVE DIRECTOR)
(708) 914-4248
Entity
Organization
Contact information
Practice address
935 175TH ST, SUITE 302, HOMEWOOD, IL 60430-2049
(708) 914-4248
(708) 991-2975
Mailing address
935 175TH ST, SUITE 302, HOMEWOOD, IL 60430-2049
(708) 914-4248
(708) 991-2975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A52410001A
IL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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