Organization
HIGH FIVE KIDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BALTHASAR M.ED. (OWNER/CONSULTANT)
(773) 348-0238
Entity
Organization
Contact information
Practice address
1327 W CORNELIA AVE, CHICAGO, IL 60657-1401
(414) 303-8847
Mailing address
1327 W CORNELIA AVE, CHICAGO, IL 60657-1401
(414) 303-8847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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