THE LAND OF REFUGE NPI 1841592615

NPI Information

NPI: 1841592615
Provider Name: THE LAND OF REFUGE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5303 W CHICAGO AVE
CHICAGO, IL
ZIP 60651
Phone: (773) 822-2315
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THE LAND OF REFUGE is a mental health counselor in Chicago, IL. THE LAND OF REFUGE NPI is 1841592615. The provider is registered as an organization entity type.

The provider's business location address is:

5303 W CHICAGO AVE
CHICAGO, IL
ZIP 60651-828
Phone: (773) 822-2315

The provider's authorized official is Valerie Moore .
The authorized official title is Manager and has the following contact phone number (773) 826-3786.

The enumeration date for this NPI number is 11/29/2010 and was last updated on 11/29/2010.

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	251S00000X	Community/Behavioral Health				No
2	101YM0800X	Counselor	Mental Health			Yes

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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