Organization Name: | CHATHAM PRESBYTERIAN CHURCH |
NPI Number: | 1114006210 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA J THURSTON (DIRECTOR) |
Mailing Address: | 1835 E Walnut St Chatham |
State: | IL US |
Postal Code: | 626291578 |
Phone Number: | 2174831224 |
Fax Number: | 2174837135 |
NPI Enumeration Date: | 11/02/2006 |
NPI Last Update Date: | 05/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180003064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |