Organization
STANDING IN THE GAP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANTE JONES MSW (CHIEF EXECUTIVE OFFICER)
(708) 209-7640
Entity
Organization
Contact information
Practice address
304 NEW SALEM ST, PARK FOREST, IL 60466-1137
(708) 209-7640
(708) 481-0816
Mailing address
304 NEW SALEM ST, PARK FOREST, IL 60466-1137
(708) 209-7640
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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