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FAITH CHANGES BEHAVIOR NPI 1780280685


NPI Information

NPI: 1780280685
Provider Name: FAITH CHANGES BEHAVIOR
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3833 HOME AVE
BERWYN, IL
ZIP 60402
Phone: (708) 400-9601
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FAITH CHANGES BEHAVIOR is a mental health (including community mental health center) clinic center in Berwyn, IL. FAITH CHANGES BEHAVIOR NPI is 1780280685. The provider is registered as an organization entity type.

The provider's business location address is:

3833 HOME AVE
BERWYN, IL
ZIP 60402-932
Phone: (708) 400-9601

The provider's authorized official is Francesca Cole-barnes .
The authorized official title is Ceo and has the following contact phone number (708) 400-9601.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.