Organization
HENRY'S SOBER LIVING HOUSE
Active
Organization
HENRY'S SOBER LIVING HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY D. MCGHEE JR. (EXECUTIVE DIRECTOR)
(773) 752-1300
Entity
Organization
Contact information
Practice address
8032 S INGLESIDE AVE, CHICAGO, IL 60619-4223
(773) 752-1300
(773) 752-1302
Mailing address
8032 S INGLESIDE AVE, CHICAGO, IL 60619-4223
(773) 752-1300
(773) 752-1302
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/26/2016
Last updated
06/05/2024
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