Grand Prairie Services
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Park Forest, IL
NPI 1578627014 · NPPES record last updated Nov 20, 2023
Key facts
- NPI
- 1578627014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- GRAND PRAIRIE SERVICES
- Practice address
- 202 Westwood Dr
Park Forest, IL 60466-1617 - Phone
- (708) 503-0301
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Sharronne Ward
- Title
- President & Ceo
- Phone
- (708) 444-1012
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Grand Prairie Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
202 Westwood Dr
Park Forest, IL 60466-1617
Mailing address
17746 Oak Park Ave
Tinley Park, IL 60477-3936
Phone (708) 444-1012
Other providers in Park Forest, IL
- Paris Givhan
- Katherine Gardner Goetz
- Loretta R Golden-Jackson
- Sharrod David Graham
- Grand Prairie Services
- Grand Prairie Services
- Chetmira E Gray Goggins
- Tiffany Gray
- Tianna A Hammond
- Taqimma Hardin
All providers in Park Forest, IL · Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.