Provider Demographics
NPI:1366677015
Name:WILLIAMS & MORGAN
Entity Type:Organization
Organization Name:WILLIAMS & MORGAN
Other - Org Name:CIRCA HELPING HANDS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRES./CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-351-9742
Mailing Address - Street 1:110 LAWRENCE LN
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2933
Mailing Address - Country:US
Mailing Address - Phone:708-351-9742
Mailing Address - Fax:708-283-6330
Practice Address - Street 1:110 LAWRENCE LANE
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2933
Practice Address - Country:US
Practice Address - Phone:708-351-9742
Practice Address - Fax:708-283-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty