NPI: 1285802025
Provider Name: DEPAUL FAMILY & COMMUNITY SERVICES
Former Legal Business Name: DEPAUL UNIVERSITY COMMUNITY MENTAL HEALTH CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization
Specialization: Mental Health (Including Community Mental Health Center)
Address:
811 W EVERGREEN AVE
102A
CHICAGO, IL
ZIP 60622
Phone: (312) 654-0450
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DEPAUL FAMILY & COMMUNITY SERVICES is a mental health (including community mental health center) clinic center in Chicago, IL. DEPAUL FAMILY & COMMUNITY SERVICES NPI is 1285802025. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Depaul University Community Mental Health Center.
The provider's business location address is:
811 W EVERGREEN AVE
102A
CHICAGO, IL
ZIP 60622-682
Phone: (312) 654-0450
The provider's authorized official is Sheila C. Ribordy .
The authorized official title is Director and has the following contact phone number (773) 325-7780.
The enumeration date for this NPI number is 2/14/2008 and was last updated on 7/25/2008.