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Organization
BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC.
Active
Organization
BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI PERKINS CTP (CHIEF FINANCIAL OFFICER)
(773) 722-7900
Entity
Organization
Contact information
Practice address
5816 W DIVISION ST FL 1, CHICAGO, IL 60651-1003
(773) 722-7900
(773) 722-0644
Mailing address
5090 W HARRISON ST, CHICAGO, IL 60644-5141
(773) 722-7900
(773) 722-0644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
695850
MEDICARE PIN
IL
01
—
IL7164
MEDICARE PIN
IL
01
—
IL7164001
MEDICARE
IL
Enumeration date
08/21/2020
Last updated
02/21/2025
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