Proviso Family Services in Broadview - Mental Health (including Community Mental Health Center)
Proviso Family Services - NPI 1588810550
Proviso Family Services is a Mental Health (including Community Mental Health Center) in Broadview, Illinois. Proviso Family Services practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Proviso Family Services is 1588810550. The last update date is 2008-08-11.
Proviso Family Services's current location address is 1820 S 25th Ave, Broadview, Illinois. You can contact this provider via phone number 7083383806 and fax number 7086811289. The mailing address for Proviso Family Services is 1820 S 25th Ave, Broadview, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proviso Family Services |
|---|---|
| Address | 1820 S 25th Ave, Broadview, Illinois |
| Phone Number | 7083383806 |
| Fax Number | 7086811289 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER, G |
|---|---|
| Authorized Official Name | Kamiski Kristin |
| Telephone Number | 7083383806 |
NPI Number Detail
| NPI Number | 1588810550 |
|---|---|
| Provider Enumeration Date | 2008-08-11 |
| Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
| Address | 1820 S 25th Ave |
|---|---|
| City | Broadview |
| State | Illinois (IL) |
| Post Code | 601552864 |
| Phone Number | 7083383806 |
| Fax Number | 7086811289 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health (including Community Mental Health Center) |
|---|---|
| Taxonomy | 261Qm0801X |
|
Definition: Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1616027 | IL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Proviso Family Services by the Centers for Medicare & Medicaid Services?
The Proviso Family Services has been assigned the NPI (National Provider Identifier) 1588810550 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Proviso Family Services?
The Proviso Family Services is physically situated at 1820 S 25Th Ave, in the city of Broadview, state of IL, with the postal code 601552864.
What is the Proviso Family Services's area of specialization and corresponding taxonomy classification?
The Proviso Family Services's specialty field is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588810550 to Proviso Family Services?
The Centers for Medicare & Medicaid Services originally issued the 1588810550 to Proviso Family Services on 2008-08-11.
When was the Proviso Family Services's information last updated?
The Proviso Family Services's information was last updated on 2008-08-11.