| South Central Community Services, Inc. | |
|
8445 S Cottage Grove Ave Chicago IL 60619-6113 | |
| (773) 651-6448 | |
| (773) 651-6449 |
| Full Name | South Central Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8445 S Cottage Grove Ave, Chicago, Illinois |
| Authorized Official Name and Position | Felicia Y Blasingame (PRESIDENT/CEO) |
| Authorized Official Contact | 7734830900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Community Services, Inc. 8316 S Ellis Ave Chicago IL 60619-5509 Ph: (773) 483-0900 | South Central Community Services, Inc. 8445 S Cottage Grove Ave Chicago IL 60619-6113 Ph: (773) 651-6448 |
| NPI Number | 1336470392 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336470392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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