Proviso Family Services

LBN: Resurrection Behavioral Health
Proviso Family Services is an health care organization with primary practice located at 1414 Main St , Melrose Park IL 60160-3902. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Resurrection Behavioral Health can be contacted via phone (708) 681-0073, or through Pinkston, Donald via phone (708) 681-0073.

Contact Information

Primary practice address
1414 Main St Melrose Park IL 60160-3902
Phone: (708) 681-0073
Fax: (708) 681-3958
Website:
Map and Directions
Authorized official contact:
Name: Pinkston, Donald Licensed Clinical Social Worker (LCSW)
Phone: (708) 681-0073

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 178.007422 Illinois

Profile Details

NPI number 1760747257
LBN Legal business name Resurrection Behavioral Health
DBA Doing business as Proviso Family Services
Authorized official Pinkston, Donald Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2012
Last updated Jul 10th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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