Organization
ANOTHER CHANCE CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX KNIGHTEN (OWNER)
(773) 366-0055
Entity
Organization
Contact information
Practice address
4131 S STATE ST STE F, CHICAGO, IL 60609-2942
(773) 270-0420
Mailing address
9704 S LOWE AVE, CHICAGO, IL 60628-1013
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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