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Organization

GARDEN CENTER SERVISES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JE'SHONA AVERETT (BEHAVIORAL SUPPORT SPECIALIST)
(773) 991-6180
Entity
Organization

Contact information

Practice address
12244 S ELIZABETH ST, CHICAGO, IL 60643-5412
(773) 991-6180
Mailing address
12244 S ELIZABETH ST, CHICAGO, IL 60643-5412
(773) 991-6180

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/15/2016
Last updated
11/15/2016
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