Organization
PRESENCE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI HOWE BSW (UTILIZATION COORDINATIOR)
(708) 786-2030
Entity
Organization
Contact information
Practice address
134 N. LASALLE ST. #400, CHICAGO, IL 60602-1086
(847) 493-3722
Mailing address
1820 S 25TH AVE, BROADVIEW, IL 60155-3960
(708) 786-2030
(708) 681-1289
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851586614
COMMERCIAL
IL
Enumeration date
11/10/2022
Last updated
11/10/2022
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