Organization
EXOFFENDER TRANSITION CENTER
Active
Other names
Reentry & Rehabilitation Transition Center, NFP
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LANG APPLEWHITE MSP, CADC, LCPC (VICE PRESIDENT & CLINICAL DIRECTOR)
(312) 808-3210
Entity
Organization
Contact information
Practice address
2630 S WABASH AVE REAR, CHICAGO, IL 60616-2825
(312) 808-3210
(312) 949-1610
Mailing address
2630 S WABASH AVE REAR, CHICAGO, IL 60616-2825
(312) 808-3210
(312) 949-1610
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275057705
—
IL
05
—
14055583
—
IL
Enumeration date
01/09/2018
Last updated
01/09/2018
Update your record
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