OrganizationActive
South Haven Behavioral Modification II Inc
NPI 1386671279 · Group Psychotherapy Psychologist · Chicago, IL
Provider details
- NPI number
- 1386671279
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Dante Pimentel, President(773) 752-8602
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
448-454 E. 61st St
Chicago, IL 60637
Phone: (773) 752-8602
Fax: (773) 752-5824
Approximate (ZIP-level) locationGet directions
Mailing address
4632 175th Pl
Country Club Hills, IL 60478-4531
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.