International Pentecostal Assy. Ecum. (ipae)

NPI #1407125156 in Steger, Illinois

Provider Information

NPI Number
1407125156
Entity Type
Organization
Organization Name
International Pentecostal Assy. Ecum. (ipae)
Subpart
Yes (part of a larger organization)
Parent Organization
BROTHERS KEEPER COMMUNITY RESOURCE CENTER (CRC)
Primary Specialty
Community/Behavioral Health
Enumeration Date
Dec 27, 2011
Last Updated
Dec 27, 2011

Practice Location

Address
1311 E STEGER RD
City
Steger
ZIP Code
60475-6017
Phone
(855) 358-5353

Authorized Official

Name
WILLIAM MCCOY SR.
Title
CEO
Phone
(708) 758-1840

Specialties & Taxonomy Codes

Specialty
Case Management
Community/Behavioral Health

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