Sertoma Centre, Inc.

NPI #1194348359 in Alsip, Illinois

Provider Information

NPI Number: 1194348359
Entity Type: Organization
Organization Name: Sertoma Centre, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 22, 2020
Last Updated: May 22, 2020

Practice Location

Address: 4100 W 127TH ST
City: Alsip
State: Illinois
ZIP Code: 60803-1925
Phone: (708) 371-9700

Authorized Official

Name: GUS VAN DEN BRINK, MSW, LPHA
Title: EXECUTIVE DIRECTOR
Phone: (708) 730-6216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Voluntary or Charitable	251V00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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