Organization
UNITED AGAINST VIOLENCE, NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYATTA VAUGHN (EXECUTIVE DIRECTOR)
(773) 619-7247
Entity
Organization
Contact information
Practice address
6636 S YALE AVE, CHICAGO, IL 60621-3836
(773) 619-7247
Mailing address
6636 S YALE AVE, CHICAGO, IL 60621-3836
(773) 619-7247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/03/2024
Last updated
01/07/2025
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