Dasa Medicaid Provider
DASA MEDICAID PROVIDER official legal name BEN GORDON CENTER is located at 12 HEALTH SERVICES DR, Dekalb, Illinois. DASA MEDICAID PROVIDER primary taxonomy is Community/Behavioral Health in the state of Illinois.
| Organization Legal Name | BEN GORDON CENTER |
| Organization Other Name | DASA MEDICAID PROVIDER |
| NPI | 1922277631 |
| City | Dekalb |
| State | Illinois |
| Address 1 | 12 HEALTH SERVICES DR |
| Postal Code | 60115 |
| Phone | 8157564875 |
| Fax | 8157562944 |
Related medical specializations
| Taxonomy ID | Grouping | Classification | Specialization |
|---|---|---|
| 251S00000X | Agencies | Community/Behavioral Health |