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Contact Information

EPIC COMMIUNITY DEVELOPMENT CENTER, INCORPORTED
905 175TH ST STE 3NE
HOMEWOOD, IL60430-2057
 Phone: 708-991-2221
 Fax: 708-589-1368
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for EPIC COMMIUNITY DEVELOPMENT CENTER, INCORPORTED

NPI # 1952008237
LBN Legal business name EPIC COMMIUNITY DEVELOPMENT CENTER, INCORPORTED
Authorized official ALBERT COOPER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2023
Last updated 02/08/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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