Organization
JOYOUS YEARS ADULT DAY PROGRAM LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KING BARRON JR. M.D. (PRESIDENT)
(773) 493-0222
Entity
Organization
Contact information
Practice address
1310 E 75TH ST, CHICAGO, IL 60619-1420
(773) 493-0222
(773) 493-0277
Mailing address
PO BOX 7163, WESTCHESTER, IL 60154-7163
(773) 493-0222
(773) 493-0277
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
036100650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4273517676015430
HFS PAYEE NUMBER
IL
Enumeration date
05/02/2008
Last updated
05/05/2008
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