Organization
GUARDIAN ANGEL COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INES KUTLESA LCPC (CHIEF EXECUTIVE OFFICER)
(815) 729-0930
Entity
Organization
Contact information
Practice address
168 N OTTAWA ST, JOLIET, IL 60432-4142
(815) 729-0930
(815) 744-6087
Mailing address
168 N OTTAWA ST, JOLIET, IL 60432-4142
(815) 729-0930
(815) 744-6087
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
032673-12
IL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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