Organization
CTF ILLINOIS
Active
Parent organization
CTF ILLINOIS
Other names
CTF Illinois -Reynolds MH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CTF ILLINOIS
Authorized official
KELLI L CODY (EXECUTIVE ASSISTANT)
(708) 429-1260
Entity
Organization
Contact information
Practice address
1400 REYNOLDS DR, CHARLESTON, IL 61920-2411
(708) 429-1260
Mailing address
18230 ORLAND PKWY, ORLAND PARK, IL 60467-5688
(708) 294-1260
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/07/2020
Last updated
04/14/2021
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