United Mental Health Organization of Illinois

NPI #1639311087 in Hazel Crest, Illinois

Provider Information

NPI Number
1639311087
Entity Type
Organization
Organization Name
United Mental Health Organization of Illinois
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 1, 2009
Last Updated
Apr 1, 2009

Practice Location

Address
17569 KEDZIE AVE
ZIP Code
60429-2007
Phone
(708) 922-3840

Authorized Official

Name
MR. REUBEN FREDERICK GOODWIN SR.
Title
OWNER
Phone
(708) 774-5645

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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