Organization
TRANSFORMING, EDUCATING, & EMPOWERING CHILDREN AND HUMANITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN ROCHELLE WHITE CADC, NCRS, RCT (CEO)
(224) 406-3798
Entity
Organization
Contact information
Practice address
1750 W 103RD ST, CHICAGO, IL 60643-2821
(224) 406-3798
(773) 779-0125
Mailing address
1750 W 103RD ST, CHICAGO, IL 60643-2821
(224) 406-3798
(773) 779-0125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689036519
—
IL
Enumeration date
03/21/2016
Last updated
09/01/2020
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