NPI 1174574016

Jamal Place, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Chicago, IL

Practice location

Address: 1335 S California Ave, Chicago, IL 60608-1611
Phone: (773) 277-6631
Fax: (773) 277-7049
Mailing address: 1335 S. California Ave, Chicago, IL 60608-1611

Authorised official

Name: Brian Barclay
Title: Tlp Director
Phone: (773) 722-5270

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 246705-05 (IL)

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

Registry record

NPI: 1174574016
Entity type: Organization
NPI issued: 15 May 2006
Record last updated: 22 Aug 2020

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.