NPI 1114415080

Ican Dream Center Nfp

Organisation Community/Behavioral Health Agency Hazel Crest, IL

Practice location

Address: 17512 E Carriageway Dr, Hazel Crest, IL 60429-2091
Phone: (708) 798-4200

Authorised official

Name: Evisha Ford
Title: Director
Phone: (708) 307-0440

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Illinois →

Registry record

NPI: 1114415080
Entity type: Organization
NPI issued: 26 Apr 2018
Record last updated: 26 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.