Organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Active
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Other names
Behavioral Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Authorized official
PAMELA F DAVIS (DEPARTMENT DIRECTOR)
(312) 655-7167
Entity
Organization
Contact information
Practice address
721 N LA SALLE DR, CHICAGO, IL 60654-3751
(773) 349-8052
Mailing address
1800 N HERMITAGE AVE, CHICAGO, IL 60622-1161
(312) 655-7167
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019
—
IL
Enumeration date
05/08/2015
Last updated
05/31/2023
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