Organization
1863FWD CARE 2 CARE NFP
Active
Other names
1863 Care 2 Care, 1863FWD Care 2 Care
Organization subpart
No
Provider details
NPI number
Authorized official
JATAUN ROLLINS LCSW (CEO)
(708) 491-3303
Entity
Organization
Contact information
Practice address
243 W 95TH ST, CHICAGO, IL 60628-1375
(708) 491-3303
Mailing address
PO BOX 717, GLENWOOD, IL 60425-0717
(708) 491-3303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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