Organization
HEPHZIBAH CHILDREN'S ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERRY BETH SHEETS (EXECUTIVE DIRECTOR)
(708) 649-7100
Entity
Organization
Contact information
Practice address
946 NORTH BLVD, OAK PARK, IL 60301-1205
(708) 649-7100
(708) 649-7102
Mailing address
1144 LAKE ST FL 5, OAK PARK, IL 60301-6706
(708) 649-7140
(708) 649-7194
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/06/2006
Last updated
01/08/2020
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