BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER INC. NPI 1164475018

NPI Information

NPI: 1164475018
Provider Name: BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5002 W MADISON ST
CHICAGO, IL
ZIP 60644
Phone: (773) 722-7900
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BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC. is a mental health (including community mental health center) clinic center in Chicago, IL. BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC. NPI is 1164475018. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5002 W MADISON ST
CHICAGO, IL
ZIP 60644-127
Phone: (773) 722-7900
Fax: (773) 638-6774

The provider's authorized official is Takasha Mcintosh .
The authorized official title is Director Of Compliance and has the following contact phone number (773) 722-7900.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	002520001	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	002520001	ILLINOIS	No
3	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	002520001	ILLINOIS	No
4	251S00000X	Community/Behavioral Health				No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
6	261QM2800X	Clinic/Center	Methadone			No
7	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
8	276400000X	Rehabilitation, Substance Use Disorder Unit				No
9	324500000X	Substance Abuse Rehabilitation Facility				No
10	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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