NPI 1124476726

Ucan

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Chicago, IL

Practice location

Address: 3640 W Fillmore St, Chicago, IL 60624-4309
Phone: (773) 588-0180
Mailing address: 3605 W Fillmore St, Chicago, IL 60624-4310

Authorised official

Name: Jonathan Stacy
Title: Executive Assistant
Phone: (773) 588-0180

Registered specialties (2)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Illinois →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1124476726
Entity type: Organization
NPI issued: 25 May 2016
Record last updated: 22 Dec 2016

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.