Organization · Type 2 NPI

Proviso Public Partnership

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

NPI number 1801304142 Active

Practice location

4565 Harrison St Fl 3
Hillside, IL 60162-1617

Fax (708) 449-6421

Other practice locations

  • 2619 Congress St, Bellwood, IL 60104-2405 · (708) 240-4435

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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Other mental health clinic/center (including community mental health center) providers in Hillside

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About NPI 1801304142

Proviso Public Partnership's National Provider Identifier is 1801304142, issued on Jan 22, 2018. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Hillside, IL. The record was last updated on Jul 22, 2021.