Organization
EVANGELICAL CHILD AND FAMILY AGENCY
Active
Other names
ECFA Counseling Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENTON J WITHROW LCSW (EXECUTIVE DIRECTOR)
(639) 653-6400
Entity
Organization
Contact information
Practice address
2240 W OGDEN AVE, CHICAGO, IL 60612-4881
(312) 421-6200
(312) 421-6298
Mailing address
1530 N MAIN ST, WHEATON, IL 60187-3584
(630) 653-6400
(630) 653-6490
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
006726-11
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2BO5IPI16
—
IL
Enumeration date
09/09/2011
Last updated
09/09/2011
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