Organization
GRAND PRAIRIE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARRONNE WARD (PRESIDENT AND CEO)
(708) 444-1012
Entity
Organization
Contact information
Practice address
450 W 14TH ST, CHICAGO HEIGHTS, IL 60411-2463
(708) 444-1012
Mailing address
17746 OAK PARK AVE, TINLEY PARK, IL 60477-3936
(708) 444-1012
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
11/20/2023
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