RESURRECTION BEHAVIORAL HEALTH – NPI #1013285220
Clinic/Center

RESURRECTION BEHAVIORAL HEALTH is an AHC clinic located in MELROSE PARK, IL. NPPES has assigned the NPI number 1013285220 to RESURRECTION BEHAVIORAL HEALTH on December 02, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RESURRECTION BEHAVIORAL HEALTH” is a dba name, the actual legal business name for this organization is RESURRECTION HEALTH CARE. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESURRECTION BEHAVIORAL HEALTH below.

NPI Profile for
RESURRECTION HEALTH CARE

NPI Number
1013285220
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RESURRECTION HEALTH CARE
Doing Business As (dba): RESURRECTION BEHAVIORAL HEALTH
Primary location
1414 MAIN
MELROSE PARK, IL 60160
Phone: (708) 681-0073 Fax:
Mailing address
1414 MAIN ST
MELROSE PARK, IL 60160-3902
Phone: Fax:
Organization Subpart
No
Authorized Official
JOHN NETHERLY
BEHAVIORAL HEALTH TECHNICAN
Phone: (773) 759-5110
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)		 IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.