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Organization
LITTLE CITY FOUNDATION
Active
Organization
LITTLE CITY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JEFFERS (EXECUTIVE DIRECTOR)
(847) 221-7860
Entity
Organization
Contact information
Practice address
1760 W ALGONQUIN RD, PALATINE, IL 60067-4791
(847) 358-5510
(847) 358-3296
Mailing address
1760 W ALGONQUIN RD, PALATINE, IL 60067-4791
(847) 358-5510
(847) 358-3296
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
012633
IL
Other
Enumeration date
08/07/2012
Last updated
02/14/2020
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