Proviso Family Services
NPI #1134376403 in Melrose Park, Illinois
Provider Information
- NPI Number
- 1134376403
- Entity Type
- Organization
- Organization Name
- Proviso Family Services
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 1225 W LAKE ST
- City
- Melrose Park
- State
- Illinois
- ZIP Code
- 60160-4039
- Phone
- (708) 681-2324
Authorized Official
- Name
- MRS. KRISTIN KAMISKI
- Title
- MANAGER, GENERAL ACCOUNTING
- Phone
- (708) 338-3806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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