Provider Demographics
NPI:1154731495
Name:BEHAVIOR, EDUCATION, TRAINING, HEALTHCARE, LTD
Entity type:Organization
Organization Name:BEHAVIOR, EDUCATION, TRAINING, HEALTHCARE, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:FELIPE
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LBS1
Authorized Official - Phone:708-975-2345
Mailing Address - Street 1:2309 S KEELER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60623-3683
Mailing Address - Country:US
Mailing Address - Phone:708-921-9968
Mailing Address - Fax:
Practice Address - Street 1:2309 S KEELER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60623-3683
Practice Address - Country:US
Practice Address - Phone:708-921-9968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health