NPI 1013590793
Illinois Children & Family Development Center LLC
Practice location
- Address
- 47 W Polk St STE 100-240, Chicago, IL 60605-2000
- Phone
- (708) 971-0966
Authorised official
- Name
- Timeica Bethel
- Title
- Chief Executive Officer
- Phone
- (708) 971-0966
Registered specialties (6)
Community/Behavioral Health Agency
Primary
Case Management Agency
Developmentally Disabled Services Day Training Agency
Early Intervention Provider Agency
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Emotionally Disturbed Childrens' Residential Treatment Facility
Registry record
- NPI
- 1013590793
- Entity type
- Organization
- NPI issued
- 30 Apr 2021
- Record last updated
- 30 Apr 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.