Organization
SOUTHWEST COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KILGALLON (THERAPIST)
(708) 707-0172
Entity
Organization
Contact information
Practice address
10800 CENTRAL AVE, CHICAGO RIDGE, IL 60415-2304
(708) 707-0172
Mailing address
10800 CENTRAL AVE, CHICAGO RIDGE, IL 60415-2304
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180008210
IL
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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