Organization
MENTAL HEALTH PROFESSIONAL SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA JOYCE GOLDEN (PRESIDENT)
(773) 848-1222
Entity
Organization
Contact information
Practice address
2565 W 79TH ST, CHICAGO, IL 60652-1729
(773) 848-1222
(773) 737-0401
Mailing address
2565 W 79TH ST, CHICAGO, IL 60652-1729
(773) 848-1222
(773) 737-0401
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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