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Organization

RESURRECTION BEHAVIORAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ERICA ANDERSON MS (BEHAVIORAL HEALTH COUNSELOR)
(708) 343-1571
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 60160-3902
(708) 681-0073

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
5H00000X
IL

Other

Enumeration date
04/17/2012
Last updated
04/17/2012
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