| Solid Ground Foundation for Behavioral Services | |
|
2033 198th Street Lynwood IL 60411-6080 | |
| (708) 969-4109 | |
| Not Available |
| Full Name | Solid Ground Foundation for Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2033 198th Street, Lynwood, Illinois |
| Authorized Official Name and Position | Inonge L. Mason (PRESIDENT) |
| Authorized Official Contact | 7089694109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solid Ground Foundation for Behavioral Services 11940 S Springfield Ave Alsip IL 60803-1117 Ph: (708) 480-2475 | Solid Ground Foundation for Behavioral Services 2033 198th Street Lynwood IL 60411-6080 Ph: (708) 969-4109 |
| NPI Number | 1477160620 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 09/30/2020 |
| Certification Date | 09/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477160620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 103K00000X | Behavior Analyst | () | Secondary |
| 251S00000X | Community/behavioral Health | () | Primary |
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