| Resurraction Behavioral Health | |
|
355 Ridge Ave Evanston IL 60202-3328 | |
| (847) 316-6000 | |
| Not Available |
| Full Name | Resurraction Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 355 Ridge Ave, Evanston, Illinois |
| Authorized Official Name and Position | Maurice Menasce (MANAGER) |
| Authorized Official Contact | 8473163733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurraction Behavioral Health 355 Ridge Ave Evanston IL 60202-3328 Ph: (847) 316-6000 | Resurraction Behavioral Health 355 Ridge Ave Evanston IL 60202-3328 Ph: (847) 316-6000 |
| NPI Number | 1518239912 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 01/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518239912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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