Organization
NOURISHING HOPE
Active
Other names
Lakeview Pantry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLIE O'CONNELL (CHIEF EXECUTIVE OFFICER)
(773) 525-1777
Entity
Organization
Contact information
Practice address
1716 W. HUBBARD, CHICAGO, IL 60622
(773) 525-1777
(773) 525-7310
Mailing address
1716 W. HUBBARD, CHICAGO, IL 60622
(773) 525-1777
(773) 525-7310
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/05/2023
Last updated
04/24/2023
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