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CTF ILLINOIS NPI 1356706881


NPI Information

NPI: 1356706881
Provider Name: CTF ILLINOIS

Doing Business As: ACCESS BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 14D2202688

Address:
530 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 429-1260
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CTF ILLINOIS is a mental health (including community mental health center) clinic center in South Holland, IL. CTF ILLINOIS NPI is 1356706881. The provider is registered as an organization entity type.
The provider Is Doing Business As Access Behavioral Health.

The provider's business location address is:

530 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473-326
Phone: (708) 429-1260
Fax: (708) 429-9701

The provider's authorized official is Kelli L Cody .
The authorized official title is Executive Assistant and has the following contact phone number (708) 429-1260.

The CLIA number assigned to this NPI record is 14D2202688 - other - residential day program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 2/15/2023.


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
1261QM0850XClinic/CenterAdult Mental Health4128ILLINOISNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)4128ILLINOISYes

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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