Organization
JAMAL PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BARCLAY MSW (TLP DIRECTOR)
(773) 722-5270
Entity
Organization
Contact information
Practice address
1335 S CALIFORNIA AVE, CHICAGO, IL 60608-1611
(773) 277-6631
(773) 277-7049
Mailing address
1335 S. CALIFORNIA AVE, CHICAGO, IL 60608-1611
(773) 277-6631
(773) 277-7049
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
246705-05
IL
Other
Enumeration date
05/15/2006
Last updated
08/22/2020
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