Organization
CHILDRENS ADVOCATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REENEE JACKSON (OWNER)
(708) 743-9090
Entity
Organization
Contact information
Practice address
2517 ATHENS RD, OLYMPIA FIELDS, IL 60461-1955
(708) 743-9090
Mailing address
2517 ATHENS RD, OLYMPIA FIELDS, IL 60461-1955
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/15/2019
Last updated
11/30/2020
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