Organization
HEALING HANDS RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VALENCIA M GREEN M.D. (CEO)
(773) 814-3201
Entity
Organization
Contact information
Practice address
1022 N KEDZIE AVE, CHICAGO, IL 60651-4128
(773) 814-3201
Mailing address
1022 N KEDZIE AVE, CHICAGO, IL 60651-4128
(773) 814-3201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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