Organization
EVENING STAR BEHAVIORAL SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHYRA MYERS (REGISTERED AGENT)
(301) 523-6323
Entity
Organization
Contact information
Practice address
2405 ESSINGTON RD STE B539, JOLIET, IL 60435-1200
(301) 523-6323
Mailing address
2405 ESSINGTON RD STE B539, JOLIET, IL 60435-1200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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