Childhood Trauma Treatment Program | |
4700 W 95th St Ll5 Oak Lawn IL 60453-2533 | |
(800) 216-1110 | |
(708) 346-4868 |
Full Name | Childhood Trauma Treatment Program |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 4700 W 95th St, Oak Lawn, Illinois |
Authorized Official Name and Position | Gene S. Carroccia (CLINICAL DIRECTOR) |
Authorized Official Contact | 8002161110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Childhood Trauma Treatment Program Po Box 776 Childhood Trauma Treatment Program Oak Lawn IL 60454-0776 Ph: (800) 216-1110 | Childhood Trauma Treatment Program 4700 W 95th St Ll5 Oak Lawn IL 60453-2533 Ph: (800) 216-1110 |
NPI Number | 1881919488 |
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Provider Enumeration Date | 04/07/2010 |
Last Update Date | 04/07/2010 |
Identifier | Type | State | Issuer |
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1881919488 | NPI | - | NPPES |
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