Organization · NPI-2

Association House Of Chicago

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Chicago, IL

NPI number1851741888

StatusActive

Last updated in NPPESJun 21, 2016

Details

NPI: 1851741888
Entity type: Organization (NPI-2)
Legal business name: Association House Of Chicago
Organization subpart: No
Enumeration date: Jun 21, 2016
Last updated: Jun 21, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	–	IL	Yes
251B00000X	Case Management	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	IL
251S00000X	Community/Behavioral Health	–	IL
302R00000X	Health Maintenance Organization	–	–

Practice location

2849 W Walton St
Chicago, IL 60622-4448

Phone 773-435-3205 · Fax 773-395-7340

Mailing address

1116 N Kedzie Ave
Chicago, IL 60651-4152

Phone 773-772-8009 · Fax 773-292-5490

Authorized official

Harriet Sadauskas
President
7737728009

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