Grand Prairie Services

NPI #1093870602 in Bradley, Illinois

Provider Information

NPI Number: 1093870602
Entity Type: Organization
Organization Name: Grand Prairie Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 26, 2006
Last Updated: Nov 20, 2023

Practice Location

Address: 136 - 142 1 2 S. CLINTON
City: Bradley
State: Illinois
ZIP Code: 60915
Phone: (815) 939-2313

Authorized Official

Name: SHARRONNE WARD
Title: PRESIDENT & CEO
Phone: (708) 444-1012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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