Organization
AUSTIN PRIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE DRUCKER (PRESIDENT/CEO)
(773) 854-5000
Entity
Organization
Contact information
Practice address
4925 W DIVISION ST, CHICAGO, IL 60651-3159
(773) 854-5000
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1706406
IL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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