| Faith Changes Behavior | |
|
3833 Home Ave Berwyn IL 60402-3932 | |
| (708) 400-9601 | |
| Not Available |
| Full Name | Faith Changes Behavior |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3833 Home Ave, Berwyn, Illinois |
| Authorized Official Name and Position | Francesca Cole-barnes (CEO) |
| Authorized Official Contact | 7084009601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Changes Behavior 3833 Home Ave Berwyn IL 60402-3932 Ph: () - | Faith Changes Behavior 3833 Home Ave Berwyn IL 60402-3932 Ph: (708) 400-9601 |
| NPI Number | 1780280685 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780280685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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