| First Life Behavioral Health Inc. | |
|
465 W 162nd St South Holland IL 60473-2010 | |
| (708) 210-9085 | |
| (708) 210-9386 |
| Full Name | First Life Behavioral Health Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 465 W 162nd St, South Holland, Illinois |
| Authorized Official Name and Position | Johnny White (CEO) |
| Authorized Official Contact | 7082109085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Life Behavioral Health Inc. 465 W 162nd St South Holland IL 60473-2010 Ph: (708) 210-9085 | First Life Behavioral Health Inc. 465 W 162nd St South Holland IL 60473-2010 Ph: (708) 210-9085 |
| NPI Number | 1598835431 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598835431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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