LYDIA HOME ASSOCIATION NPI 1316904956

NPI Information

LYDIA HOME ASSOCIATION 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. LYDIA HOME ASSOCIATION NPI is 1316904956. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4300 W IRVING PARK RD #B
COUNSELING CENTER
CHICAGO, IL
ZIP 60641-825
Phone: (773) 736-1447
Fax: (773) 736-6970

The provider's authorized official is David K. Anderson .
The authorized official title is Executive Director and has the following contact phone number (773) 736-1447.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 2/25/2022.

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:

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