| Fresh Start Behaviorial Center | |
| 
					8 Surrey Brook Plz Sauk Village IL 60411-4913  | |
| (708) 757-2444 | |
| (708) 757-2449 | 
| Full Name | Fresh Start Behaviorial Center | 
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 8 Surrey Brook Plz, Sauk Village, Illinois | 
| Authorized Official Name and Position | Joel K Carroll (MEDICAL DIRECTOR) | 
| Authorized Official Contact | 7087572444 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fresh Start Behaviorial Center 8 Surrey Brook Plz Sauk Village IL 60411-4913 Ph: (708) 757-2444  | Fresh Start Behaviorial Center 8 Surrey Brook Plz Sauk Village IL 60411-4913 Ph: (708) 757-2444  | 
| NPI Number | 1184883779 | 
|---|---|
| Provider Enumeration Date | 06/09/2008 | 
| Last Update Date | 06/09/2008 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184883779 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 36093329 (Illinois) | Primary | 
National Youth Advocate Program, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 217th Pl, Sauk Village, IL 60411 Phone: 708-747-2655 Fax: 708-747-2859  | |
Medical Behavioral Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21936 Burnham Ave, Sauk Village, IL 60411 Phone: 708-753-0685  |