Organization
FIRST LIFE BEHAVIORAL HEALTH LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY WHITE LCSW (CEO)
(708) 210-9085
Entity
Organization
Contact information
Practice address
465 W 162ND ST, SOUTH HOLLAND, IL 60473-2010
(708) 210-9085
(708) 210-9386
Mailing address
465 W 162ND ST, SOUTH HOLLAND, IL 60473-2010
(708) 210-9085
(708) 210-9386
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
IL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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