Organization
BURTON HOMES COMMUNITY OUTREACH NFP
Active
Organization
BURTON HOMES COMMUNITY OUTREACH NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA SMITH (PRESIDENT/ CEO)
(312) 404-7184
Entity
Organization
Contact information
Practice address
9204 S COMMERCIAL AVE STE 308, CHICAGO, IL 60617-2197
(312) 404-7184
Mailing address
10208 S INDIANAPOLIS AVE, CHICAGO, IL 60617-6033
(224) 216-4995
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
03/24/2021
Last updated
07/29/2024
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