Mental Health Service Line

NPI #1508965724 in Hines, Illinois

Provider Information

NPI Number: 1508965724
Entity Type: Organization
Organization Name: Mental Health Service Line
Primary Specialty: Psychiatric Unit
Enumeration Date: Sep 22, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5TH AVE AND ROOSEVELT ROAD
City: Hines
State: Illinois
ZIP Code: 60141
Phone: (708) 202-8387

Authorized Official

Name: MR. AARON RICE JR., CADC
Title: REHAB TECH
Phone: (708) 202-8387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Unit	273R00000X	Primary

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