GRAND PRAIRIE SERVICES NPI 1578627014

NPI Information

NPI: 1578627014
Provider Name: GRAND PRAIRIE SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
202 WESTWOOD DR
PARK FOREST, IL
ZIP 60466
Phone: (708) 503-0301
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GRAND PRAIRIE SERVICES is a mental health (including community mental health center) clinic center in Park Forest, IL. GRAND PRAIRIE SERVICES NPI is 1578627014. The provider is registered as an organization entity type.

The provider's business location address is:

202 WESTWOOD DR
PARK FOREST, IL
ZIP 60466-617
Phone: (708) 503-0301

The provider's authorized official is Sharronne Ward .
The authorized official title is President & Ceo and has the following contact phone number (708) 444-1012.

The enumeration date for this NPI number is 12/20/2006 and was last updated on 11/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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