Organization
EPIC COMMIUNITY DEVELOPMENT CENTER, INCORPORTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT COOPER (EXECUTIVE DIRECTOR)
(708) 991-2221
Entity
Organization
Contact information
Practice address
905 175TH ST STE 3NE, HOMEWOOD, IL 60430-2057
(708) 991-2221
(708) 589-1368
Mailing address
905 175TH ST STE 3NE, HOMEWOOD, IL 60430-2057
(708) 991-2221
(708) 589-1368
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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