Organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Active
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Other names
West Regional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Authorized official
PAMELA F DAVIS (DEPARTMENT DIRECTOR)
(312) 655-7167
Entity
Organization
Contact information
Practice address
1400 S AUSTIN BLVD, CICERO, IL 60804-1003
(708) 329-4026
Mailing address
1800 N HERMITAGE AVE, CHICAGO, IL 60622-1161
(312) 655-7167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04019
—
IL
Enumeration date
04/23/2015
Last updated
05/31/2023
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