Organization
SOUTH CENTRAL COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA Y BLASINGAME ED. D (PRESIDENT/CEO)
(773) 483-0900
Entity
Organization
Contact information
Practice address
8445 S COTTAGE GROVE AVE, CHICAGO, IL 60619-6113
(773) 651-6448
(773) 651-6449
Mailing address
8316 S ELLIS AVE, CHICAGO, IL 60619-5509
(773) 483-0900
(773) 483-6161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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