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Organization

FIRST LIFE BEHAVIORAL HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNNY WHITE LCSW (CEO)
(708) 210-9085
Entity
Organization

Contact information

Practice address
465 W 162ND ST, SOUTH HOLLAND, IL 60473-2010
(708) 210-9085
(708) 210-9386
Mailing address
465 W 162ND ST, SOUTH HOLLAND, IL 60473-2010
(708) 210-9085
(708) 210-9386

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
IL

Other

Enumeration date
11/08/2006
Last updated
08/22/2020
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