Organization
OAK-LEYDEN DEVELOPMENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ATKINSON (CEO)
(708) 524-1050
Entity
Organization
Contact information
Practice address
411 CHICAGO AVE, OAK PARK, IL 60302-2233
(708) 524-1050
(708) 524-2469
Mailing address
411 CHICAGO AVE, OAK PARK, IL 60302-2233
(708) 524-1050
(708) 524-2469
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
93C186
IL
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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