Organization
HARMONY HOUSE CILA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELA THURMON (CEO)
(312) 656-7378
Entity
Organization
Contact information
Practice address
16708 KIMBARK AVE, SOUTH HOLLAND, IL 60473-3231
(312) 656-7378
Mailing address
16708 KIMBARK AVE, SOUTH HOLLAND, IL 60473-3231
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201700003C
IL
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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