Organization
SOUTHWEST COMMUNITY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY PAT AMBROSINO (EXECUTIVE DIRECTOR)
(708) 429-1260
Entity
Organization
Contact information
Practice address
58 W 162ND ST, SOUTH HOLLAND, IL 60473-2061
(708) 825-1986
Mailing address
6775 PROSPERI DR, TINLEY PARK, IL 60477-4789
(708) 429-1260
(708) 429-9107
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04128
IL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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