Kirby Johnson
Kirby Johnson is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Chicago, Illinois. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
3807 N Leavitt St Apt 2Chicago, IL 60618-3825
Phone: (309) 360-6268
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1679966949 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kirby Johnson — Behavior Analyst · (309) 360-6268 |
| NPI enumerated | March 11, 2015 |
| Last updated in NPPES | March 11, 2015 |
| Mailing address | 3807 N Leavitt St Apt 2, Chicago, IL 60618-3825 |
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