Organization · Type 2 NPI

International Pentecostal Assy. Ecum. (ipae)

Community/Behavioral Health Agency · Steger, IL

NPI number 1407125156 Active

Practice location

1311 E Steger Rd
Steger, IL 60475-6017

Call (855) 358-5353 Map

Fax (708) 758-1845

Mailing address

283 E 14th St
Chicago Heights, IL 60411-2837

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	DCN:005115 (IL)

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…

NPI record

NPI: 1407125156
Entity type: Organization (Type 2)
Issued: Dec 27, 2011
Last updated: Dec 27, 2011
Status: Active
Subpart: Yes of Brothers Keeper Community Resource Center (crc)

Other names

<unavail>
Brothers Keeper Community Resource Center (crc) · other name

Authorized official

William McCoy
CEO
(708) 758-1840

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407125156

International Pentecostal Assy. Ecum. (ipae)'s National Provider Identifier is 1407125156, issued on Dec 27, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Steger, IL. The record was last updated on Dec 27, 2011.