Organization
LESTER AND ROSALIE ANIXTER CENTER
Active
Other names
Anixter Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY DESMOND (SENIOR DIRECTOR OF FINANCE)
(773) 761-1501
Entity
Organization
Contact information
Practice address
6610 N CLARK ST, CHICAGO, IL 60626-4062
(773) 761-1501
(773) 977-1240
Mailing address
6610 N CLARK ST, CHICAGO, IL 60626-4062
(773) 761-1501
(773) 977-1240
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/31/2016
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