Organization
COGNITIVE FOCUS CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M JORDAN (CEO)
(412) 661-7790
Entity
Organization
Contact information
Practice address
901 E 95TH ST, CHICAGO, IL 60619
(412) 606-8214
Mailing address
901 E 95TH ST, CHICAGO, IL 60619-7826
(412) 606-8214
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770869505
—
PA
Enumeration date
08/21/2019
Last updated
12/07/2020
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