Organization
IIMPACT, NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACOYA HARRIS (CEO)
(312) 978-3038
Entity
Organization
Contact information
Practice address
6011 S JUSTINE ST, CHICAGO, IL 60636-2307
(312) 857-3838
Mailing address
333 S WABASH AVE STE 2700, CHICAGO, IL 60604-4129
(312) 978-3038
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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