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Organization
THE LADY ESTHER PROJECT FOUNDATION
Active
Organization
THE LADY ESTHER PROJECT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONESIA N ROUSE MHA, FACHE (EXECUTIVE DIRECTOR)
(773) 937-1992
Entity
Organization
Contact information
Practice address
2761 W 86TH ST, CHICAGO, IL 60652-3933
(773) 937-1992
Mailing address
3473 S KING DR # 492, CHICAGO, IL 60616-4108
(773) 937-1992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
302R00000X
Health Maintenance Organization
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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