Organization
ESPERANZA COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAYNE M DREW (CHIEF EXECUTIVE OFFICER)
(312) 243-6097
Entity
Organization
Contact information
Practice address
520 N MARSHFIELD AVE, CHICAGO, IL 60622-6731
(312) 243-6097
(312) 243-2076
Mailing address
520 N MARSHFIELD AVE, CHICAGO, IL 60622-6731
(312) 243-6097
(312) 243-2076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
11519395
IL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/12/2016
Last updated
06/23/2023
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