Organization
5 STAR BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA WARD LCPC (OWNER)
(773) 408-0342
Entity
Organization
Contact information
Practice address
2925 S WABASH AVE, CHICAGO, IL 60616-3390
(773) 408-0342
Mailing address
8521 S CREGIER AVE, CHICAGO, IL 60617-2224
(773) 408-0342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447525928
NPI #1
IL
Enumeration date
09/19/2019
Last updated
09/19/2019
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