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BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER INC. NPI 1699388181


NPI Information

NPI: 1699388181
Provider Name: BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5816 W DIVISION ST FL 1
CHICAGO, IL
ZIP 60651
Phone: (773) 722-7900
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BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC. is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC. NPI is 1699388181. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5816 W DIVISION ST FL 1
CHICAGO, IL
ZIP 60651-003
Phone: (773) 722-7900
Fax: (773) 722-0644

The provider's authorized official is Simone Edwards .
The authorized official title is Cfo and has the following contact phone number (773) 722-7900.

The enumeration date for this NPI number is 8/25/2020 and was last updated on 8/25/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
6320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
7251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1IL7164OTHERILLINOISMEDICARE PIN
2IL7164001OTHERILLINOISMEDICARE
3695850OTHERILLINOISMEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.