Organization
INTERNATIONAL PENTECOSTAL ASSY. ECUM. (IPAE)
Active
Parent organization
BROTHERS KEEPER COMMUNITY RESOURCE CENTER (CRC)
Other names
Brothers Keeper Community Resource Center (CrC)
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROTHERS KEEPER COMMUNITY RESOURCE CENTER (CRC)
Authorized official
WILLIAM MCCOY SR. (CEO)
(708) 758-1840
Entity
Organization
Contact information
Practice address
1311 E STEGER RD, STEGER, IL 60475-6017
(855) 358-5353
(708) 758-1845
Mailing address
283 E 14TH ST, CHICAGO HEIGHTS, IL 60411-2837
(708) 758-1840
(708) 758-1845
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
DCN:005115
IL
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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