Resurrection Health Care

NPI #1518239706 in Melrose Park, Illinois

Provider Information

NPI Number
1518239706
Entity Type
Organization
Organization Name
Resurrection Health Care
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Feb 2, 2012
Last Updated
Feb 2, 2012

Practice Location

Address
1414 MAIN ST
ZIP Code
60160-3902
Phone
(708) 881-0073

Authorized Official

Name
MR. JOHN MYRON NETHERLY, MSW, MA, MS
Title
BEHAVIORAL HEALTH TECHNICAM
Phone
(773) 567-5110

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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