Standing in the Gap Incorporated
NPI #1285030106 in Park Forest, Illinois
Provider Information
- NPI Number
- 1285030106
- Entity Type
- Organization
- Organization Name
- Standing in the Gap Incorporated
- Primary Specialty
- Case Management
- Enumeration Date
- Nov 5, 2014
- Last Updated
- Nov 5, 2014
Practice Location
- Address
- 304 NEW SALEM ST
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-1137
- Phone
- (708) 209-7640
Authorized Official
- Name
- MS. SHANTE JONES, MSW
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (708) 209-7640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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