Organization
VICTOR C. NEUMANN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL SELDEN PH.D. (CEO)
(773) 769-4313
Entity
Organization
Contact information
Practice address
5547 N RAVENSWOOD AVE, CHICAGO, IL 60640-1125
(773) 506-3201
(773) 769-1476
Mailing address
5547 N RAVENSWOOD AVE, CHICAGO, IL 60640-1125
(773) 506-3201
(773) 769-1476
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
199100067C
IL
Other
Enumeration date
06/21/2005
Last updated
12/29/2015
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