Department of Health and Human Services

NPI #1457883431 in Dolton, Illinois

Provider Information

NPI Number: 1457883431
Entity Type: Organization
Organization Name: Department of Health and Human Services
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 30, 2017
Last Updated: Mar 30, 2017

Practice Location

Address: 14714 STATE ST
City: Dolton
State: Illinois
ZIP Code: 60419-1517
Phone: (708) 267-3088

Authorized Official

Name: MRS. PEARL D BALLARD
Title: REGISTERED NURSE
Phone: (708) 267-3088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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