Grand Prairie Services
NPI #1598829020 in Calumet City, Illinois
Provider Information
- NPI Number
- 1598829020
- Entity Type
- Organization
- Organization Name
- Grand Prairie Services
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Dec 20, 2006
- Last Updated
- Nov 20, 2023
Practice Location
- Address
- 858 BURNHAM AVE
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-4728
- Phone
- (708) 891-5429
Authorized Official
- Name
- SHARRONNE WARD
- Title
- PRESIDENT &CEO
- Phone
- (708) 444-1012
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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