Organization Name: | VALUE CARE CENTERS, LLC |
NPI Number: | 1295113330 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY WEEMS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 14127 Leavitt Ave Blue Island |
State: | IL US |
Postal Code: | 604063242 |
Phone Number: | 7085664950 |
Fax Number: | 7085664382 |
NPI Enumeration Date: | 05/08/2015 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0400X |
License Number: | 15001 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |