Organization
SAFER FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DICKSON (PRESIDENT AND CEO)
(312) 922-4767
Entity
Organization
Contact information
Practice address
2839 W FILLMORE ST, CHICAGO, IL 60612-4051
(773) 638-8491
Mailing address
571 W JACKSON BLVD, CHICAGO, IL 60661-5701
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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