Organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Active
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Authorized official
MICHAEL M. BOLAND (ADMINISTRATOR, PRESIDENT, AND CEO)
(312) 655-7460
Entity
Organization
Contact information
Practice address
2310 W ROOSEVELT RD, SUITE 2W, CHICAGO, IL 60608-1131
(312) 655-7191
Mailing address
721 N. LASALLE ST., CHICAGO, IL 60654
(708) 655-7000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
04019
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019
—
IL
Enumeration date
05/18/2015
Last updated
12/28/2023
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