Proviso Public Partnership

NPI #1801304142 in Hillside, Illinois

Provider Information

NPI Number: 1801304142
Entity Type: Organization
Organization Name: Proviso Public Partnership
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 22, 2018
Last Updated: Jul 22, 2021

Practice Location

Address: 4565 HARRISON ST FL 3
City: Hillside
State: Illinois
ZIP Code: 60162-1617
Phone: (708) 240-4435

Authorized Official

Name: KATE MINELLA
Title: CHIEF FINANCIAL OFFICER
Phone: (708) 240-4435

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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