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Organization
SIDNEY CHARITY FOUNDATION
Active
Organization
SIDNEY CHARITY FOUNDATION
Active
Other names
A New Day Community Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHAKA HOLLEY LCSW (EXECUTIVE DIRECTOR)
(312) 508-3829
Entity
Organization
Contact information
Practice address
1167 E 61ST ST APT 1, CHICAGO, IL 60637-5919
(312) 508-3829
Mailing address
1440 W TAYLOR ST STE 1607, CHICAGO, IL 60607-4623
(312) 702-0121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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