Organization
BBT FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN BLACK (EXECUTIVE DIRECTOR)
(773) 896-7364
Entity
Organization
Contact information
Practice address
9037 S CARPENTER ST, CHICAGO, IL 60620-3550
(773) 896-7364
Mailing address
7340 S WASHTENAW AVE, CHICAGO, IL 60629-2044
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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