Organization · NPI-2

A Beautiful Mind, INC

Day Training, Developmentally Disabled Services · Chicago, IL

NPI number1851995039
StatusActive
Last updated in NPPESDec 8, 2021

Details

NPI
1851995039
Entity type
Organization (NPI-2)
Legal business name
A Beautiful Mind, INC
Organization subpart
No
Enumeration date
Nov 28, 2020
Certification date
Dec 8, 2021
Last updated
Dec 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––

Practice location

5113 S Harper Ave Ste 2c
Chicago, IL 60615-4119

Phone 773-304-3699

Mailing address

5113 S Harper Ave # 2c
Chicago, IL 60615-4119

Phone 773-304-3699

Authorized official

Chiquita Lee
Ceo/Founder
7733043699

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