Organization
PROSPER MENTAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY DAVIS APRN (PRESIDENT)
(708) 620-7807
Entity
Organization
Contact information
Practice address
1137 W 127TH ST, CALUMET PARK, IL 60827-6537
(708) 620-7807
Mailing address
1137 W 127TH ST, CALUMET PARK, IL 60827-6537
(708) 620-7807
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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