NPI 1245830298
A Beautiful Mind, INC
Practice location
- Address
- 9046 S Justine St APT 2, Chicago, IL 60620-5033
- Phone
- (773) 304-6999
- Mailing address
- 5113 S Harper Ave STE 2c, Chicago, IL 60615-4119
Authorised official
- Name
- Chiquita Lee
- Title
- Ceo/Founder
- Phone
- (773) 304-3699
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1245830298
- Entity type
- Organization
- NPI issued
- 29 Oct 2020
- Record last updated
- 28 Feb 2023
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.