Organization
GUILDHAUS
Active
Parent organization
GUILDHAUS
Organization subpart
Yes
Provider details
NPI number
Legal business name
GUILDHAUS
Authorized official
MR. KEVIN PATRICK LAVIN (EXECUTIVE DIRECTOR)
(708) 385-3228
Entity
Organization
Contact information
Practice address
13315 OLDE WESTERN AVE, BLUE ISLAND, IL 60406-2921
(708) 926-9627
Mailing address
13315 OLDE WESTERN AVE, BLUE ISLAND, IL 60406-2921
(708) 926-9627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A-0991-0004-A
IL
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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