Grand Prairie Services in Park Forest - Mental Health (including Community Mental Health Center)

Grand Prairie Services - NPI 1578627014

Grand Prairie Services is a Mental Health (including Community Mental Health Center) in Park Forest, Illinois. Grand Prairie Services practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Grand Prairie Services is 1578627014. The last update date is 2023-11-20.

Grand Prairie Services's current location address is 202 Westwood Dr, Park Forest, Illinois. You can contact this provider via phone number 7085030301. The mailing address for Grand Prairie Services is 202 Westwood Dr, Park Forest, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grand Prairie Services
Address 202 Westwood Dr, Park Forest, Illinois
Phone Number 7085030301
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ward Sharronne
Telephone Number 7084441012

NPI Number Detail

NPI Number 1578627014
Provider Enumeration Date 2006-12-20
Last Updated Date 2023-11-20

Provider Mailing Address Detail

Address 202 Westwood Dr
City Park Forest
State Illinois (IL)
Post Code 604661617
Phone Number 7085030301
Fax Number

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.

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FAQs about Grand Prairie Services

What is the unique 10-digit identification code issued to Grand Prairie Services by the Centers for Medicare & Medicaid Services?

The Grand Prairie Services has been assigned the NPI (National Provider Identifier) 1578627014 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Grand Prairie Services?

The Grand Prairie Services is situated at 202 Westwood Dr, in the city of Park Forest, state of IL, with the zip code 604661617.

What is Grand Prairie Services's specialized field of practice, and what is the corresponding taxonomy classification code?

The Grand Prairie Services's area of specialization is Mental Health (including Community Mental Health Center), and the corresponding taxonomy code that categorizes this field of practice is 261Qm0801X.

On what date was the 1578627014 assigned to Grand Prairie Services?

The Grand Prairie Services was issued its 1578627014 on 2006-12-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Grand Prairie Services most recently updated or revised?

The information pertaining to Grand Prairie Services, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-20.

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