Individual provider · Type 1 NPI
Roselyn Shine
Community/Behavioral Health Agency · Park Forest, IL
Practice location
153 Nanti St
Park Forest, IL 60466-2529
Fax (708) 506-3900
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…
Another provider at this address
About NPI 1962888511
Roselyn Shine's National Provider Identifier is 1962888511, issued on Aug 5, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Park Forest, IL. The record was last updated on Aug 5, 2015.