Individual provider · Type 1 NPI
Demetrious Walker
Mental Illness Community Based Residential Treatment Facility · Olympia Fields, IL
NPI number
1285281188
Active
Practice location
2430 Athens Rd
Olympia Fields, IL 60461-1954
Mailing address
PO Box 1175
Calumet City, IL 60409-1175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
About NPI 1285281188
Demetrious Walker's National Provider Identifier is 1285281188, issued on Aug 25, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Olympia Fields, IL. The record was last updated on Aug 25, 2019.