NPI 1235197583

Lydia Home Association

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Chicago, IL

Practice location

Address: 4300 W Irving Park Rd, Chicago, IL 60641-2825
Phone: (773) 736-1447
Fax: (773) 736-5014

Authorised official

Name: David Karl Anderson
Title: Executive Director
Phone: (773) 736-1447

Registered specialties (3)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 062837 (IL)

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

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Other Clinic/Center providers in Illinois →

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI: 1235197583
Entity type: Organization
NPI issued: 3 May 2006
Record last updated: 24 Jun 2022

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.