| Resurrection Behavioral Health | |
|
1414 Main Melrose Park IL 60160 | |
| (708) 681-0073 | |
| Not Available |
| Full Name | Resurrection Behavioral Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1414 Main, Melrose Park, Illinois |
| Authorized Official Name and Position | John Myron Netherly (BEHAVIORAL HEALTH TECHNICAN) |
| Authorized Official Contact | 7737595110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resurrection Behavioral Health 1414 Main St Melrose Park IL 60160-3902 Ph: () - | Resurrection Behavioral Health 1414 Main Melrose Park IL 60160 Ph: (708) 681-0073 |
| NPI Number | 1013285220 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013285220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Illinois) | Primary |
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Resurrection Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-681-0073 Fax: 708-681-3958 | |
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