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RESURRECTION BEHAVIORAL HEALTH NPI 1336406263


NPI Information

NPI: 1336406263
Provider Name: RESURRECTION BEHAVIORAL HEALTH
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
1414 MAIN ST
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-0073
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RESURRECTION BEHAVIORAL HEALTH is a respite care in Melrose Park, IL. RESURRECTION BEHAVIORAL HEALTH NPI is 1336406263. The provider is registered as an organization entity type.

The provider's business location address is:

1414 MAIN ST
MELROSE PARK, IL
ZIP 60160-902
Phone: (708) 681-0073

The provider's authorized official is Erica Anderson .
The authorized official title is Behavioral Health Counselor and has the following contact phone number (708) 343-1571.

The enumeration date for this NPI number is 4/17/2012 and was last updated on 4/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1385H00000XRespite Care5H00000XILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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