SAFER FOUNDATION NPI 1174003644

NPI Information

NPI: 1174003644
Provider Name: SAFER FOUNDATION
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
571 W JACKSON BLVD
CHICAGO, IL
ZIP 60661
Phone: (773) 320-7160
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SAFER FOUNDATION is an adult mental health clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SAFER FOUNDATION NPI is 1174003644. The provider is registered as an organization entity type.

The provider's business location address is:

571 W JACKSON BLVD
CHICAGO, IL
ZIP 60661
Phone: (773) 320-7160

The provider's authorized official is Victor Dickson .
The authorized official title is President And Ceo and has the following contact phone number (312) 922-2200.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 1/11/2022.

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	261QM0850X	Clinic/Center	Adult Mental Health		ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000000	MEDICAID	ILLINOIS

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: 11/14/2023

NPI Synchronization or Removal

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