Organization
SAFER FOUNDATION
Active
Organization
SAFER FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR DICKSON (PRESIDENT AND CEO)
(312) 922-2200
Entity
Organization
Contact information
Practice address
571 W JACKSON BLVD, CHICAGO, IL 60661
(773) 320-7160
Mailing address
571 W JACKSON BLVD, CHICAGO, IL 60661-5706
(312) 922-2200
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
IL
Enumeration date
08/15/2018
Last updated
01/11/2022
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