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Contact Information

SOUTH HAVEN BEHAVIORAL MODIFICATION II INC
448-454 E. 61ST ST
CHICAGO, IL60637
 Phone: 773-752-8602
 Fax: 773-752-5824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SOUTH HAVEN BEHAVIORAL MODIFICATION II INC

NPI Number 1386671279
LBN Legal business name SOUTH HAVEN BEHAVIORAL MODIFICATION II INC
Authorized official DANTE PIMENTEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2006
Last updated 08/22/2020 - About 6 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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