institution
Community Support Program/reality House
Mental Health Clinic/Center (Including Community Mental Health Center) in Dekalb, Illinois
NPI 1972788925

Community Support Program/reality House is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Dekalb, IL and is specialized in Mental Health (Including Community Mental Health Center). Community Support Program/reality House practices in Dekalb, IL. The NPI Number for Community Support Program/reality House is 1972788925 and holds a License No. A0254001A (Illinois).

The current practice location address for Community Support Program/reality House is 631 S 1St St, Dekalb, IL and can be reached out via phone at 815-756-8501 and via fax at 815-756-5849.

Location: 631 S 1St St, Dekalb, IL, 60115-4117
institution
Provider Profile Details
NPI Number
1972788925
Provider Name
Community Support Program/reality House
Credential
Provider Entity Type
Organization
Address
631 S 1St St, Dekalb, IL, 60115-4117
Phone Number
815-756-8501
Fax Number
815-756-5849
Provider Enumeration Date
01/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
631 S 1St St
City
State
Zip
60115-4117
Phone Number
815-756-8501
Fax Number
815-756-5849
person
Provider Business Mailing Address Details
Address
631 S 1St St
City
State
Zip
60115-4117
Phone Number
815-756-8501
Fax Number
815-756-5849
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
A0254001A (Illinois)
Definition
Definition to come...
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