Organization
EL VALOR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BRUCE O'BRIEN (DIRECTOR OF FISCAL OPERATIONS)
(312) 492-5948
Entity
Organization
Contact information
Practice address
1850 W 21ST ST, CHICAGO, IL 60608-2715
(312) 492-5948
(312) 666-0831
Mailing address
1850 W 21ST ST, CHICAGO, IL 60608-2715
(312) 492-5948
(312) 666-0831
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
IL
251S00000X
Community/Behavioral Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
199100061C
IL
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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