| NPI | 1013285220 |
|---|---|
| Doing Business As | RESURRECTION BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN MYRON NETHERLY Behavioral Health Technican 773-759-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |