| Carolina Therapeutic Services Community Development | |
|
4521 W Diversey Ave Chicago IL 60639-1925 | |
| (773) 360-1389 | |
| Not Available |
| Full Name | Carolina Therapeutic Services Community Development |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4521 W Diversey Ave, Chicago, Illinois |
| Authorized Official Name and Position | Clarence Sutton (CEO) |
| Authorized Official Contact | 7048641477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Therapeutic Services Community Development 1528 Union Rd Gastonia NC 28054-2200 Ph: (704) 864-1477 | Carolina Therapeutic Services Community Development 4521 W Diversey Ave Chicago IL 60639-1925 Ph: (773) 360-1389 |
| NPI Number | 1588439780 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588439780 | NPI | - | NPPES |
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