PROVISO FAMILY SERVICES

MELROSE PARK, IL
NPI1134376403
Doing Business AsRESURRECTION BEHAVIORAL HEALTH
Entity TypeOrganization
Authorized ContactKRISTIN KAMISKI
Manager, General Accounting
708-338-3806
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2008-08-19
Last Update Date2008-08-19
Business Address
PROVISO FAMILY SERVICES
1225 W LAKE ST
MELROSE PARK, IL 60160-4039
Phone number: 708-681-2324
Mailing Address
PROVISO FAMILY SERVICES
1820 S 25TH AVE
BROADVIEW, IL 60155-2864
Phone number: 708-338-3806