Sertoma Star Services, Inc.

NPI #1407618697 in Alsip, Illinois

Provider Information

NPI Number: 1407618697
Entity Type: Organization
Organization Name: Sertoma Star Services, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 24, 2024
Last Updated: Feb 5, 2024

Practice Location

Address: 4343 W 123RD ST
City: Alsip
State: Illinois
ZIP Code: 60803-1807
Phone: (708) 755-8030

Authorized Official

Name: GUS VAN DEN BRINK
Title: PRESIDENT/CEO
Phone: (708) 730-6216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Community Based Residential Treatment Facility, Mental Illness	320800000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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Sertoma Star Services, Inc.	Clinic/Center - Mental Health (Including Community Mental Health Center)	Alsip	AI Deep Dive
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