Grand Prairie Services

NPI #1639233174 in Matteson, Illinois

Provider Information

NPI Number: 1639233174
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: 21136 KEELER AVE
City: Matteson
State: Illinois
ZIP Code: 60443-2242
Phone: (708) 481-1360

Authorized Official

Name: SHARRONNE WARD
Title: PRESIDENT & CEO
Phone: (708) 444-1012

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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