Organization
LITTLE CITY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE R. RAY (THERAPIST)
(773) 306-3480
Entity
Organization
Contact information
Practice address
700 N SACRAMENTO BLVD, CHICAGO, IL 60612-1046
(847) 417-2092
Mailing address
303 W DIVISION ST APT 622, CHICAGO, IL 60610-0343
(773) 306-3480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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