Organization
RESURRACTION BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE MENASCE LCSW (MANAGER)
(847) 316-3733
Entity
Organization
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6000
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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