Organization · Type 2 NPI
Supported Independence
Community/Behavioral Health Agency · Hazel Crest, IL
Practice location
17009 Elm Drive
Hazel Crest, IL 60429
Mailing address
17900 Elm Drive
Hazel Crest, IL 60429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None 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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- United Mental Health Organization of IllinoisCommunity/Behavioral Health Agency Hazel Crest, IL NPI 1639311087
- Midwest Family and Community Resources PCCommunity/Behavioral Health Agency Hazel Crest, IL NPI 1770818064
About NPI 1649548405
Supported Independence's National Provider Identifier is 1649548405, issued on Dec 8, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Hazel Crest, IL. The record was last updated on Dec 8, 2011.