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I Am Able Center For Family Development

Clinic/Center, Rehabilitation, Substance Use Disorder in Chicago, IL. Organization (NPI-2).

NPI number1205445285
StatusActive
Last updated in NPPESJul 27, 2020

Details

NPI
1205445285
Entity type
Organization (NPI-2)
Legal business name
I Am Able Center For Family Development
Organization subpart
No
Enumeration date
Jul 27, 2020
Certification date
Jul 27, 2020
Last updated
Jul 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes

Practice location

3410 W Roosevelt Rd
Chicago, IL 60624-4343

Phone 773-840-8062 · Fax 773-826-2966

Mailing address

3410 W Roosevelt Rd
Chicago, IL 60624-4343

Phone 773-840-8062 · Fax 773-826-2966

Authorized official

Deborah Lang
Business Manager
7738408062

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