South Haven Behavioral Modification Ii Inc

LBN: South Haven Behavioral Modification Ii Inc
South Haven Behavioral Modification Ii Inc is an health care organization with primary practice located at 448-454 E. 61St St , Chicago IL 60637. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as the primary health care specialty. South Haven Behavioral Modification Ii Inc can be contacted via phone (773) 752-8602, or through Pimentel, Dante via phone (773) 752-8602.

Contact Information

Primary practice address
448-454 E. 61St St Chicago IL 60637
Phone: (773) 752-8602
Fax: (773) 752-5824
Website:
Map and Directions
Authorized official contact:
Name: Pimentel, Dante Doctor of Medicine (MD)
Phone: (773) 752-8602

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1386671279
LBN Legal business name South Haven Behavioral Modification Ii Inc
DBA Doing business as
Authorized official Pimentel, Dante Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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