Organization
CENTER FOR COMPREHENSIVE SERVICES, INC
Active
Parent organization
CENTER FOR COMPREHENSIVE SERVICES, INC
Other names
Neurorestorative Illinois
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR COMPREHENSIVE SERVICES, INC
Authorized official
SERGIO P CRUZ (CFO)
(781) 708-9444
Entity
Organization
Contact information
Practice address
901 S BUSSE RD, MT PROSPECT, IL 60056-4006
(618) 503-9061
Mailing address
306 W MILL ST, CARBONDALE, IL 62901-2727
(618) 503-9061
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBD
DEPARTMENT OF PUBLIC HEALTH
IL
Enumeration date
10/24/2018
Last updated
10/24/2018
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