Organization
FAMILY TREE INTERVENTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRIS JACKSON (OWNER)
(773) 663-7773
Entity
Organization
Contact information
Practice address
2220 E 68TH ST, CHICAGO, IL 60649-6288
(773) 663-7773
Mailing address
2220 E 68TH ST, CHICAGO, IL 60649-6288
(773) 663-7773
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/09/2024
Last updated
06/06/2025
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