| NPI | 1902658586 |
|---|---|
| Doing Business As | PKC HEALTH SERVICE |
| Entity Type | Organization |
| Authorized Contact | LASHONDA CROCKETT President 708-303-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0301X Psychiatry & Neurology, Brain Injury Medicine |
| Additional Taxonomies | 101200000X Drama Therapist |
| 101YM0800X Counselor, Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 221700000X Art Therapist | |
| 225100000X Physical Therapist | |
| 225800000X Recreation Therapist | |
| 225A00000X Music Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-09-26 |