BOBBY E WRIGHT CCMHC NPI 1831367036

NPI Information

NPI: 1831367036
Provider Name: BOBBY E WRIGHT CCMHC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3525 W JACKSON BLVD
CHICAGO, IL
ZIP 60624
Phone: (773) 722-7900
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BOBBY E WRIGHT CCMHC is a mental health (including community mental health center) clinic center in Chicago, IL. BOBBY E WRIGHT CCMHC NPI is 1831367036. The provider is registered as an organization entity type.

The provider's business location address is:

3525 W JACKSON BLVD
CHICAGO, IL
ZIP 60624-255
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 2/11/2008 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	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		ILLINOIS	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness			No
3	251B00000X	Case Management			No
4	251S00000X	Community/Behavioral Health			No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		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: 11/14/2023

NPI Synchronization or Removal

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