Guildhaus
NPI #1669827580 in Blue Island, Illinois
Provider Information
- NPI Number
- 1669827580
- Entity Type
- Organization
- Organization Name
- Guildhaus
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GUILDHAUS
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 28, 2016
- Last Updated
- Apr 28, 2016
Practice Location
- Address
- 13315 OLDE WESTERN AVE
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2921
- Phone
- (708) 926-9627
Authorized Official
- Name
- MR. KEVIN PATRICK LAVIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (708) 385-3228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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