Crystal Clear Behavioral Health Services

NPI 1114366531 - Social Worker - 1041C0700X

NPI Details
NPI 1114366531
Enumeration Date 06/19/2013
Last Updated 06/19/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Position OWNER
Phone (708) 275-0937
Fax (815) 521-1889
Practice Location
UNIT 104
HOMEWOOD IL, 60430-1763, US
Phone (708) 275-0937
Fax (815) 521-1889
Business Location
PO BOX 613
CHANNAHON IL, 60410-0613, US
Phone (815) 521-1889
Fax (815) 521-1889
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.014385
Remove 1114366531 NPI Number

According to our database, Crystal Clear Behavioral Health Services NPI is 1114366531, taxonomy code is 1041C0700X and license number is 149.014385, license state is located at Illinois. Crystal Clear Behavioral Health Services physically located at 1818 Ridge Road, Homewood IL, 60430-1763. NPI Number 1033115704 has the healthcare provider type.

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1114366531 NPI number is provided on an as is basis without warranty of any kind. 1114366531 is maintained by the National Plan & Provider Enumeration System. The contents of Crystal Clear Behavioral Health Services are for informational purposes only.