Provider First Line Business Practice Location Address:
ROSELAND MENTAL HEALTH CENTER
Provider Second Line Business Practice Location Address:
28 E 112TH PLACE
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-747-7320
Provider Business Practice Location Address Fax Number:
312-747-9143
Provider Enumeration Date:
08/15/2005