Children's Center for Behavioral Development

NPI #1184677619 in East Saint Louis, Illinois

Provider Information

NPI Number: 1184677619
Entity Type: Organization
Organization Name: Children's Center for Behavioral Development
Primary Specialty: Counselor
Enumeration Date: May 18, 2006
Last Updated: Jul 26, 2007

Practice Location

Address: 353 N 88TH ST
City: East Saint Louis
State: Illinois
ZIP Code: 62203-2705
Phone: (618) 398-1152

Authorized Official

Name: CAROLYN BIRTH
Title: CHIEF EXECUTIVE OFFICER
Phone: (618) 398-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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