Faith Changes Behavior
Clinic/Center, Mental Health (Including Community Mental Health Center) in Berwyn, IL. Organization (NPI-2).
NPI number1780280685
StatusActive
Last updated in NPPESDec 7, 2020
Details
- NPI
- 1780280685
- Entity type
- Organization (NPI-2)
- Legal business name
- Faith Changes Behavior
- Organization subpart
- No
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 7, 2020
- Last updated
- Dec 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
3833 Home AveBerwyn, IL 60402-3932
Phone 708-400-9601
Mailing address
3833 Home AveBerwyn, IL 60402-3932
Authorized official
Francesca Cole-Barnes
Ceo
7084009601
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