Organization · Type 2 NPI

Illinois Supreme Health Organization

Community/Behavioral Health Agency · Crestwood, IL

NPI number 1194228429 Active

Practice location

5305 Pleasant Ln
Crestwood, IL 60418-1159

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1194228429

Illinois Supreme Health Organization's National Provider Identifier is 1194228429, issued on Mar 13, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Crestwood, IL. The record was last updated on Mar 13, 2018.