Organization · Type 2 NPI
Grand Prairie Services
Mental Health Clinic/Center (Including Community Mental Health Center) · Lynwood, IL
NPI number
1740344027
Active
Practice location
19707 Terrace Ave
Lynwood, IL 60411-1335
Mailing address
17746 Oak Park Ave
Tinley Park, IL 60477-3936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1740344027
Grand Prairie Services's National Provider Identifier is 1740344027, issued on Dec 20, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Lynwood, IL. The record was last updated on Nov 20, 2023.