First Life Behavioral Health Ltd. | |
465 W 162nd St South Holland IL 60473-2010 | |
(708) 210-9085 | |
(708) 210-9386 |
Full Name | First Life Behavioral Health Ltd. |
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Speciality | Community/behavioral Health |
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 |
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First Life Behavioral Health Ltd. 465 W 162nd St South Holland IL 60473-2010 Ph: (708) 210-9085 | First Life Behavioral Health Ltd. 465 W 162nd St South Holland IL 60473-2010 Ph: (708) 210-9085 |
NPI Number | 1396919460 |
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Provider Enumeration Date | 04/18/2008 |
Last Update Date | 04/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396919460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Illinois) | Primary |
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