BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER INC. NPI 1700498573

NPI Information

NPI: 1700498573
Provider Name: BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

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 mental health (including community mental health center) clinic center in Chicago, IL. BOBBY E. WRIGHT COMPREHENSIVE BEHAVIORAL HEALTH CENTER, INC. NPI is 1700498573. The provider is registered as an organization entity type.

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 8/21/2020 and was last updated on 8/21/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
5	101YM0800X	Counselor	Mental Health	No
6	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	No
7	251B00000X	Case Management		No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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	IL7164001	OTHER	ILLINOIS	MEDICARE
2	695850	OTHER	ILLINOIS	MEDICARE PIN
3	IL7164	OTHER	ILLINOIS	MEDICARE 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: 11/14/2023

NPI Synchronization or Removal

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