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Organization

LINK AND OPTION CENTER INC

Active
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Organization

LINK AND OPTION CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TWIN D GREEN QMHP (PRESIDENT)
(708) 331-8111
Entity
Organization

Contact information

Practice address
900 E 162ND ST, SOUTH HOLLAND, IL 60473-2471
(708) 331-8111
(708) 331-8088
Mailing address
900 E 162ND ST, SOUTH HOLLAND, IL 60473-2471
(708) 331-8111
(708) 331-8088

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
103TB0200X
Cognitive & Behavioral Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TP2701X
Group Psychotherapy Psychologist
106H00000X
Marriage & Family Therapist
251B00000X
Case Management Agency
A-9572-0001-A
IL
251S00000X
Community/Behavioral Health Agency
A-9572-0001-A
IL
252Y00000X
Early Intervention Provider Agency
15009
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
15009
IL
05
C/A-9572-0001-A
IL
Enumeration date
07/30/2014
Last updated
01/09/2017
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