Organization
GRAND PRAIRIE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS REGNIER (CEO/PRESIDENT)
(708) 444-1012
Entity
Organization
Contact information
Practice address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 444-1012
Mailing address
31 W 155TH ST, HARVEY, IL 60426-3556
(708) 444-1012
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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