Organization
COMMUNITY SUPPORT SERVICES
Active
Organization
COMMUNITY SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDGAR MIHELIC (DIRECTOR, DATA ANALYTICS)
(708) 354-4547
Entity
Organization
Contact information
Practice address
9021 OGDEN AVE, BROOKFIELD, IL 60513-2040
(708) 354-4785
(708) 354-7412
Mailing address
9021 OGDEN AVE, BROOKFIELD, IL 60513-2040
(708) 354-4785
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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