Organization · Type 2 NPI

Proviso Family Services

Mental Health Clinic/Center (Including Community Mental Health Center) · Des Plaines, IL

NPI number 1588810550 Active

Practice location

100 N River Rd
Des Plaines, IL 60016-1209

Fax (708) 681-1289

Mailing address

1820 S 25th Ave
Broadview, IL 60155-2864

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1588810550

Proviso Family Services's National Provider Identifier is 1588810550, issued on Aug 11, 2008. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Des Plaines, IL. The record was last updated on Aug 11, 2008.