5 Star Behavioral Services, LLC
Community/Behavioral Health in Chicago, IL. Organization (NPI-2).
NPI number1891345088
StatusActive
Last updated in NPPESSep 19, 2019
Details
- NPI
- 1891345088
- Entity type
- Organization (NPI-2)
- Legal business name
- 5 Star Behavioral Services, LLC
- Organization subpart
- No
- Enumeration date
- Sep 19, 2019
- Last updated
- Sep 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2925 S Wabash AveChicago, IL 60616-3390
Phone 773-408-0342
Mailing address
8521 S Cregier AveChicago, IL 60617-2224
Phone 773-408-0342
Authorized official
Cassandra Ward
Owner
7734080342
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